Self-Monitoring of Blood Glucose During Pregnancy in Women with Juvenile Diabetes

Abstract

Eight pregnant patients with insulin-dependent juvenile diabetes were persuaded to start self-monitoring of blood glucose between the 10th to the 20th week of gestation. One patient with two children discontinued this effort after a short period. Four patients are still on a regimen of self-monitoring during their pregnancy, and three have delivered normal infants. The latter three patients were all able to achieve almost normal blood glucose levels during the pregnancies. These observations, in addition to those of others, lead to the conclusion that self-monitoring of blood glucose can be an useful tool in the management of diabetes, particularly in pregnant women, who have a high degree of motivation to achieve g o o d C o n t r o l .

The Effects of Blood Glucose Testing Versus Urine Sugar Testing on the Metabolic Control of Insulin-Dependent Diabetic Children

“…Previous reports with adult insulin-dependent diabetic subjects have generally described more extensive training than was offered to our subjects, including detailed instruction in dietary, exercise, and insulin modifications (Kamp et al 6 ). It is probable that the changes in HbA lc might have been greater if the families in our study had been more thoroughly trained in methods for better utilizing blood glucose test results.…”