Document Detail


Continuous glucose monitoring-enabled insulin-pump therapy in diabetic pregnancy.
MedLine Citation:
PMID:  20804351     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the feasibility of continuous glucose monitoring (CGM)-enabled insulin-pump therapy during pregnancy in a woman with type 1 diabetes, who was treated with CGM-enabled insulin-pump therapy in her third pregnancy. During her first pregnancy, the woman was treated with multiple daily injections and baseline HbA1c was 8.9%. Due to pre-eclampsia, the child was born preterm, and had neonatal hypoglycemia. In the planning of the second pregnancy, insulin-pump therapy was initiated, resulting in an HbA1c of 6.8% in early pregnancy. Due to pre-eclampsia, the second child was born preterm, but without neonatal morbidity. Before her third pregnancy, CGM-enabled insulin-pump therapy was introduced, and HbA1c was 6.4% in early pregnancy. The patient was satisfied with this therapy, pre-eclampsia did not occur, and the child was born at term without neonatal morbidity. CGM-enabled insulin-pump therapy appears feasible in diabetic pregnancies.
Authors:
Anna L Secher; Signe Schmidt; Kirsten Nørgaard; Elisabeth R Mathiesen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  89     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-31     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  1233-7     Citation Subset:  IM    
Affiliation:
Center for Pregnant Women with Diabetes, Department of Endocrinology, Rigshospitalet, Copenhagen, Denmark. anna.lilja.secher@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Glucose / analysis
Diabetes Mellitus, Type 1 / drug therapy*
Feasibility Studies
Female
Hemoglobin A, Glycosylated / analysis
Humans
Hypoglycemic Agents / therapeutic use*
Infant, Newborn
Insulin / therapeutic use*
Insulin Infusion Systems*
Monitoring, Ambulatory
Pregnancy
Pregnancy in Diabetics / drug therapy*
Term Birth
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Hemoglobin A, Glycosylated; 0/Hypoglycemic Agents; 0/hemoglobin A1c protein, human; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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