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2002 JAN 10 - (NewsRx.com & NewsRx.net) -- by Sonia Nichols, senior medical writer - The authors of an Australian study contend that the insulin pump is okay for treating some females who experience type 2 or gestational diabetes during pregnancy.
Their study evaluated a multiethnic group of 251 women with pregnancies complicated by type 2 diabetes mellitus or gestational diabetes, a form of diabetes that arises during pregnancy and usually regresses after childbirth. Both types of diabetes can cause problems for the developing infant if glucose levels are not monitored and controlled. All of the women took insulin injections at some point during their pregnancies but were still bothered by persistently high glucose levels.
Thirty females in the group, comprising women of Polynesian, European, or South Asian ethnicities, received insulin pumps, according to study investigator David Simmons of the University of Melbourne, Australia and colleagues on the multicenter investigation team.
After matching patients for age and ethnicity, Simmons and coworkers found that a majority of those using the insulin pump had better glycemic control within a few weeks of its introduction (Use of insulin pumps in pregnancies complicated by type 2 diabetes and gestational diabetes in a multiethnic community, Diabetes Care, December 2001;24(12):2078-2082).
"Mothers using a pump had greater insulin requirements (median maximum 246 vs. 130 units per day) and greater weight gain (10.6 vs 5.0 kg)," Simmons and team reported.
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