Continuous glucose monitoring in women with diabetes during pregnancy

doi:10.1136/bmj.a1472

Published 25 September 2008, doi:10.1136/bmj.a1472
Cite this as: BMJ 2008;337:a1472

Editorials

Continuous glucose monitoring in women with diabetes during pregnancy

Can improve outcomes alongside other standard interventions

The first 150 words of the full text of this article appear below.

The diagnosis and management of diabetes that presents duringpregnancy has always been difficult. Women are usually asymptomaticand are not aware that the condition may occur for the firsttime during pregnancy. The prevalence varies from 1.4% to 14%depending on the population.¹ Women who are first found to haveabnormal glucose concentrations during pregnancy form a heterogeneousgroup, which includes women with unrecognised pre-existing type2 diabetes and small numbers of women with unrecognised type1 diabetes.² Once the diagnosis of diabetes is established ina pregnant woman, blood glucose concentrations should be controlledto decrease the risk of maternal and neonatal complications.

The linked randomised controlled trial by Murphy and colleagues(doi:10.1136/bmj.a1680) compares the effects of standard antenatalcare with and without continuous glucose monitoring in 71 womenwith type 1 or type 2 diabetes. Continuous glucose monitoringwas used as an educational tool to . . . [Full text of this article]

Mario R Festin, professor

¹ Obstetrics and Gynecology, College of Medicine, University of the Philippines, Ermita, Manila, Philippines

mfestinmd@yahoo.com

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Relevant Article

Effectiveness of continuous glucose monitoring in pregnant women with diabetes: randomised clinical trial: Helen R Murphy, Gerry Rayman, Karen Lewis, Susan Kelly, Balroop Johal, Katherine Duffield, Duncan Fowler, Peter J Campbell, and Rosemary C Temple
BMJ 2008 337: a1680. [Abstract] [Full Text] [PDF]