CGM use in pregnancy improves neonatal outcomes

CGM use in pregnancy improves neonatal outcomes
(HealthDay)—For pregnant women with type 1 diabetes, use of continuous glucose monitoring (CGM) is associated with improved neonatal outcomes, according to a study published online Sept. 15 in The Lancet to coincide with the annual meeting of the European Association for the Study of Diabetes, held from Sept. 11 to 15 in Lisbon, Portugal.

Denice S. Feig, M.D., from the Sinai Health System in Toronto, and colleagues randomized aged 18 to 40 years with type 1 diabetes for a minimum of 12 months who were receiving intensive insulin therapy to receive CGM in addition to capillary glucose monitoring (108 pregnant women, 53 planning pregnancy) or capillary glucose monitoring alone (107 pregnant women, 57 planning pregnancy).

The researchers observed a small, but significant, difference in hemoglobin A1c in pregnant women using CGM (mean difference, −0.19 percent). Compared with controls, with CGM spent more time in target and less time hyperglycemic. Significant improvements were seen in neonatal health outcomes, with lower incidence of large for gestational age (odds ratio, 0.51), fewer admissions lasting more than 24 hours and incidences of neonatal hypoglycemia (odds ratios, 0.48 and 0.45, respectively), and one-day shorter length of hospital stay. For women planning pregnancy, there was no apparent benefit for CGM.

"Use of CGM during pregnancy in patients with type 1 diabetes is associated with improved neonatal outcomes," the authors write.


Explore further

Gestational diabetes and diabetes before pregnancy associated with several poor outcomes for baby

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
More Information
Journal information: The Lancet

Copyright © 2017 HealthDay. All rights reserved.

Citation: CGM use in pregnancy improves neonatal outcomes (2017, September 18) retrieved 20 June 2019 from https://medicalxpress.com/news/2017-09-cgm-pregnancy-neonatal-outcomes.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
6 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more