Role of continuous glucose monitoring in the management of diabetic pregnancy

Niranjala M Hewapathirana, Esther O'Sullivan, Helen R Murphy

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

Self-monitoring of blood glucose (SMBG) with intermittent capillary glucose fingerstick tests is currently the universally accepted method of glucose monitoring in pregnancy. During pregnancy SMBG tests are recommended before and after meals and before bed (typically 7 values/d). Continuous glucose monitoring systems consist of a disposable subcutaneous glucose-sensing device, electrochemically measuring glucose levels in subcutaneous tissues every 10 seconds, providing an average interstitial glucose value every 5 minutes (typically 288 values/d). From a research perspective this provides unprecedented insights into the pathophysiology of glucose metabolism, while from a clinical perspective it can facilitate enhanced patient-professional decision making, patient motivation, and improved glycaemic control. CGM has thus been described as a "roadmap for effective self-management" and as a "stepping stone in the journey towards a cure." This review will consider the lessons learned and evidence supporting current and potential future use of CGM in the management of diabetes in pregnancy.

Original languageEnglish
Pages (from-to)34-42
Number of pages9
JournalCurrent Diabetes Reports
Volume13
Issue number1
Early online date19 Oct 2012
DOIs
Publication statusPublished - Feb 2013

Keywords

  • Blood Glucose
  • Blood Glucose Self-Monitoring
  • Gestational Diabetes
  • Female
  • Humans
  • Obstetric Labor
  • Obesity
  • Patient Education as Topic
  • Pregnancy

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