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Intensive Monitoring and Treatment Required for Gestational Diabetes

Posted: Thursday, February 16, 2006

10 readings a day required to maintain good readings.

A group of researchers led by Dr Anneloes Kerssen of the University Medical Centre Utrecht in the Netherlands, determined the optimal target HbA1c levels and the use of self-monitoring of blood glucose (SMBG) in pregnant women with type 1 diabetes. A total of 43 women were asked to use a continuous glucose monitoring system (CGMS) once in each trimester in addition to SMBG. Results were compared among women with HbA1c levels of 4.0-6.0%, 6.0-7.0%, and >7.0%. Correlations between SMBG and CGMS measurements were made among women with 4-5, 6-9, or 10 or more SMBG measurements daily.

The researchers found that glucose concentrations obtained by CGMS were significantly better in patients with a HbA1c level of 6.0% or lower, compared with those with HbA1c>6.0%. No difference in glucose concentrations by CGMS were found between women with HbA1c 6.0-7.0% or >7.0%. Hyper- and hypoglycemic episodes were more readily detected in patients with 10 or more SMBG measurements daily, compared with those with fewer daily measurements.

Source: Diabetes In Control: