Data from the CONCEPTT trial revealed that for most women, CGM alone is insufficient to achieve and maintain optimal blood glucose levels throughout a T1D pregnancy.
helen murphy
High blood sugar levels are associated with an increased risk of pre-eclampsia, which causes an excess amount of amniotic fluid (polyhydramnios) to develop in the uterus, leading to pregnancy and childbirth complications, the need for a Caesarean section, or miscarriage or stillbirth. There is a possibility that Infants may have increased rates of congenital abnormalities, preterm birth, large-for-gestational age, and may require admission to the neonatal intensive care unit (NICU).3 Obesity also poses a risk for pregnancy, and many pregnant women are also obese.
In the CONCEPTT trial, strict adherence to CGM led to 16% fewer oversized infants being born, 13% fewer infants with hypoglycemia, half the number of infants admitted to the NICU, and fewer infants staying for more than 24 hours. demonstrated a 16% reduction in The results of this study are believed by experts to be equally applicable to women with type 2 diabetes.
“However, data from the CONCEPTT trial revealed that for most women, CGM alone is insufficient to achieve and maintain optimal blood glucose levels throughout a T1D pregnancy,” Murphy said. . “Secondary analysis of CONCEPTT demonstrated that 10% of participants achieved times within the recommended target range in the first and second trimesters, but only increased to 35% by 35 weeks of pregnancy. It was done.”
