Emerging Technologies for the Management of Type 1 Diabetes in Pregnancy |
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Authors: | Jennifer M Yamamoto Helen R Murphy |
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Institution: | 1.Department of Medicine, Division of Endocrinology and Metabolism,University of Calgary,Calgary,Canada;2.Cambridge University Hospitals NHS Foundation Trust,Cambridge,UK;3.Women’s Health Academic Centre, Division of Women’s and Children’s Health,King’s College London,London,UK;4.Norwich Medical School,University of East Anglia,Norwich,UK |
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Abstract: | Purpose of ReviewThe purpose of the study is to discuss emerging technologies available in the management of type 1 diabetes in pregnancy.Recent FindingsThe latest evidence suggests that continuous glucose monitoring (CGM) should be offered to all women on intensive insulin therapy in early pregnancy. Studies have additionally demonstrated the ability of CGM to help gain insight into specific glucose profiles as they relate to glycaemic targets and pregnancy outcomes. Despite new studies comparing insulin pump therapy to multiple daily injections, its effectiveness in improving glucose and pregnancy outcomes remains unclear. Sensor-integrated insulin delivery (also called artificial pancreas or closed-loop insulin delivery) in pregnancy has been demonstrated to improve time in target and performs well despite the changing insulin demands of pregnancy.SummaryEmerging technologies show promise in the management of type 1 diabetes in pregnancy; however, research must continue to keep up as technology advances. Further research is needed to clarify the role technology can play in optimising glucose control before and during pregnancy as well as to understand which women are candidates for sensor-integrated insulin delivery. |
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