Addition of intermittently scanned continuous glucose monitoring to standard care in a cohort of pregnant women with type 1 diabetes: effect on glycaemic control and pregnancy outcomes

Perea, Verónica; Picón-César, María José; Megía, Ana; Goya, María; Wägner, Ana M.; Vega, Begoña; Seguí, Núria; Montañez, Maria Dolores; Vinagre, Irene

doi:10.1007/s00125-022-05717-2

Cited by 10 publications

(3 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A single-center retrospective study reported the use of real-time CGM over a 4-year period in neonates with hypoglycemia [ 43 ]. Although CGM has been shown to reduce morbidity in type 1 diabetes pregnancy LGA offsprings, a recent large multicenter observational cohort study on CGM with 300 pregnant women with type 1 diabetes found that neonates were more likely to be hypoglycemic [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Continuous Glucose Monitoring in Preterm Infants: The Role of Nutritional Management in Minimizing Glycemic Variability

et al. 2022

View full text Add to dashboard Cite

Glycemic variability (GV) is common in preterm infants. In the premature population, GV is a risk factor for morbidity and mortality. Both hypo- and hyperglycemia can impair neurodevelopment. We investigated the impact of continuous versus intermittent tube enteral feeding on GV. In our prospective observational study, 20 preterm infants with a gestational age ≤ 34 weeks at either continuous or intermittent bolus full enteral feeding. For five days, continuous glucose monitoring (CGM) was utilized, which was achieved through the subcutaneous insertion of a sensor. A total of 27,532 measurements of blood glucose were taken. The mean amplitude of glycemic excursions did not differ between the two cohorts statistically. Continuous feeding resulted in higher positive values, increasing the risk of hypo- and hyperglycemia. Subjects who were small for their gestational age had a higher standard deviation during continuous feeding (p = 0.001). Data suggest that intermittent bolus nutrition is better for glycemic control than continuous nutrition. Nutritional management optimization of preterm infants appears to be critical for long-term health. In the future, CGM may provide a better understanding of the optimal glucose targets for various clinical conditions, allowing for a more personalized approach to management.

show abstract

Section: Discussionmentioning

confidence: 99%

Continuous Glucose Monitoring in Preterm Infants: The Role of Nutritional Management in Minimizing Glycemic Variability

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Finally improved fetal outcomes have not been demonstrated when compared to SMBG ( 69 ). In larger observational studies of over 300 women with type 1 diabetes, isCGM resulted in better glycaemic control in trimester 2 compared to conventional SMBG - however this translated to higher rates of neonatal hypoglycaemia and no improvement in rates of LGA or prematurity ( 72 ). The authors have suggested that the tendency of isCGM to under-read glucose readings could make patients more likely to overtreat hypoglycaemia, and thus expose themselves to rebound hyperglycaemia.…”

Section: Technologiesmentioning

confidence: 99%

Glycaemic control and novel technology management strategies in pregestational diabetes mellitus

2023

View full text Add to dashboard Cite

IntroductionPregestational diabetes (PGDM) is an increasingly common and complex condition that infers risk to both mother and infant. To prevent serious morbidity, strict glycaemic control is essential. The aim of this review is to review the glucose sensing and insulin delivering technologies currently available for women with PGDM.MethodsWe reviewed online databases for articles relating to technology use in pregnancy using a combination of keywords and MeSH headings. Relevant articles are included below.ResultsA number of technological advancements have improved care and outcomes for women with PGDM. Real time continuous glucose monitoring (rtCGM) offers clear advantages in terms of infants size and neonatal intensive care unit admissions; and further benefits are seen when combined with continuous subcutaneous insulin delivery (insulin pump) and algorithms which continuously adjust insulin levels to glucose targets (hybrid closed loop). Other advancements including flash or intermittent scanning CGM (isCGM) and stand-alone insulin pumps do not confer as many advantages for women and their infants, however they are increasingly used outside of pregnancy and many women enter pregnancy already using these devices.DiscussionThis article offers a discussion of the most commonly used technologies in pregnancy and evaluates their current and future roles.

show abstract

“…Für isCGM bzw. FGM existieren bislang lediglich Observationsstudien mit unterschiedlichem Ergebnis [33,34], keine RCT, sodass dies zum aktuellen Zeitpunkt nicht empfohlen werden kann.…”

Section: Merkeunclassified

Diabetes mellitus und Schwangerschaft

Laubner¹,

Kleinwechter²

2023

Diabetologie und Stoffwechsel

View full text Add to dashboard Cite

Addition of intermittently scanned continuous glucose monitoring to standard care in a cohort of pregnant women with type 1 diabetes: effect on glycaemic control and pregnancy outcomes

Cited by 10 publications

References 39 publications

Continuous Glucose Monitoring in Preterm Infants: The Role of Nutritional Management in Minimizing Glycemic Variability

Continuous Glucose Monitoring in Preterm Infants: The Role of Nutritional Management in Minimizing Glycemic Variability

Glycaemic control and novel technology management strategies in pregestational diabetes mellitus

Diabetes mellitus und Schwangerschaft

Contact Info

Product

Resources

About