Continuous glucose monitoring – a new and expanding element in the care of patients with diabetes mellitus during pregnancy

Česká verzia

Authors: Urbanová J. ¹; Brunerová L. ¹; Árská Janíčková Ž D. ²; Doničová V. ³; Brož J. ²
Authors place of work: Centrum pro výzkum diabetu, metabolismu a výživy, Interní klinika 3. LF UK a FNKV, Praha ¹; Interní klinika 2. LF UK a FN Motol, Praha ²; Interná a diabetologická ambulancia, Výučbové centrum LF UPJŠ Košice, Slovenská republika ³
Published in the journal: Ceska Gynekol 2021; 86(6): 406-409
Category: Review Article
doi: https://doi.org/10.48095/cccg2021406

Summary

A new parameter of metabolic control derived from the results of continuous blood glucose monitoring is time in range (TIR). According to current recommendations, in pregnant women with diabetes, this glycemic range is defined by values of 3.5 to 7.8 mmol/L, with the aim of keeping glycemia in this range as much time as possible, and at the same time reducing the time spent below its lower limit (< 3.5 mmol/L). In pre-gestational type 1 diabetes, it is recommended to reach this TIR above 70% of the total measurement time including up to 4% of simultaneous time spent in hypoglycemia. In gestational (and pre-gestational type 2) diabetes, the recommended % of in-range times are not yet specified.

Keywords:

gestational diabetes – continuous monitoring glucose – glycemic control – time in range

Zdroje

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