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LITTLE ROCK, ARK. - Continuous glucose monitoring is a promising tool for the management of women with gestational diabetes, Dr. Lois Jovanovic said at the annual meeting of the North American Diabetes in Pregnancy Study Group.
Continuous glucose monitoring (CGM) allows for the detection of postprandial blood glucose peaks that are often missed with intermittent self-monitoring by the patient.
Since CGM is expensive and may be difficult to use in routine obstetrics practice, however, patients should at least be instructed to measure their blood sugars 1 hour after meals--rather than the traditional 2--in addition to checking fasting sugars, according to Dr. Jovanovic, who is scientific director of the Sansum Medical Research Institute, Santa Barbara, Calif.
In her study of 10 women with insulin-treated gestational diabetes, continuous glucose monitoring detected that levels were at least 120 mg/dL (the upper 1-hour postprandial glucose threshold for a non-diabetic pregnant woman) for a duration of 1-3 hours each day and were greater than 140 mg/dL (the American Diabetes Association's postprandial cutoff) for 1-2 hours each day
Changes in insulin dose were then made in these 10 women, who had not detected ...