Title :

Intermittently scanned continuous glucose monitoring is associated with lower spontaneous abortion rate compared with conventional blood glucose monitoring in pregnant women with type 1 diabetes: An observational study

Author(s) :

Lemaitre, Madleen [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Université de Lille
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Faiz, Kenza [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Baudoux, Florence [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Subtil, Damien [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Université de Lille
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Vambergue, Anne [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Génomique Intégrative et Modélisation des Maladies Métaboliques (EGID) - UMR 8199
Hôpital Claude Huriez [Lille]

Journal title :

Diabetes and Vascular Disease Research

Abbreviated title :

Diabetes Vasc. Dis. Res.

Volume number :

19

Pages :

-

Publication date :

2023-02-28

ISSN :

1479-1641

English keyword(s) :

pregnancy
intermittently scanned continuous glucose monitoring
blood glucose monitoring
spontaneous abortion
Type 1 diabetes
adverse pregnancy outcomes

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Aim The objective of the present real-life study in France was to assess and compare characteristics and outcomes in a cohort of pregnant women with type 1 diabetes (T1D) using intermittently scanned continuous glucose ...
Show more >Aim The objective of the present real-life study in France was to assess and compare characteristics and outcomes in a cohort of pregnant women with type 1 diabetes (T1D) using intermittently scanned continuous glucose monitoring (isCGM) or conventional blood glucose monitoring (BGM). Material and Methods We performed an observational study of a cohort of 153 women with T1D: 77 women were using isCGM, and 76 were using BGM. We compared the groups’ maternal characteristics and maternal-fetal complications. The level of HbA1c was measured before pregnancy and then four times (after 8–12, 24–28, 30–33, and 35–37 weeks of gestation). Results The two groups were similar in terms of age, prepregnancy BMI, diabetes duration, and diabetic vascular complications. There were no significant intergroup differences in the obstetric history. The spontaneous abortion rate was lower in the isCGM group than in the blood glucose monitoring group (5.3% vs. 20%, respectively; p = .0129), while the prepregnancy and first-trimester HbA1c levels were similar. There were no significant intergroup differences in the incidence of other maternal-fetal complications. Conclusions This observational study demonstrates that isCGM use is associated with lower spontaneous abortion compared with conventional BGM. Large prospective studies are needed to corroborate our findings and fully understand the relationship between glucose data at the time of conception/early pregnancy and foetal outcome.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• Génomique Intégrative et Modélisation des Maladies Métaboliques (EGID) - UMR 8199
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T02:53:01Z
2024-04-12T13:25:26Z