Continuous subcutaneous insulin therapy during early pregnancy

Grossesse et diabète de type 1 : pompe à insuline versus traitement intensifié conventionnel

“…Initialement réservée au troisième trimestre afin de prévenir la macrosomie foetale [9,10], la pompe à insuline est progressivement utilisée pendant toute la durée de la grossesse [6,11,12], enfin indiquée à la période préconceptionnelle dans le but de réduire le risque de malformations congénitales [13,14]. Dans notre expérience, l'équilibre glycémique péri-conceptionnel des patientes sous pompe ne diffère pas significativement de celui des patientes sous traitement intensifié conventionnel.…”

Intensive insulin therapy in pregnancy: Strategies for successful implementation in pregestational diabetes mellitus

“…These effects have important implications for the choice of technique best suited to a specific individual for IIT in pregnancy. Most studies of pregnancies with respect to use of CSII or MIT were completed almost two decades ago and were designed primarily to confirm that during pregnancy CSII was an acceptable alternative to MIT [17,18]. Limited effort has been made since then to investigate the relative superiority of either therapy in pregnancy.…”

Obstetric Ultrasound for Diabetes-related Congenital Anomalies

“…Congenital heart defects are among the most important causes of perinatal mortality in offspring of diabetic mothers. [11][12][13][14][15][16][17][18] The commonest cardiac anomalies associated with diabetes in pregnancy are transposition of the great vessels, common arterial trunk, ventricular septal defects, visceral heterotaxia, and coarctation of the aorta. 19,20 Transposition of the great arteries is a conotruncal abnormality in which the right heart receiving blood from the body ejects blood directly into the aorta and the left heart receiving blood from the lungs ejects blood directly into the pulmonary artery.…”