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- Title
The Benefits of Continuous Glucose Monitoring in Pregnancy.
- Authors
Jee Hee Yoo; Jae Hyeon Kim
- Abstract
Previous studies have consistently demonstrated the positive effects of continuous glucose monitoring (CGM) on glycemic outcomes and complications of diabetes in people with type 1 diabetes. Guidelines now consider CGM to be an essential and cost-effective device for managing type 1 diabetes. As a result, insurance coverage for it is available. Evidence supporting CGM continues to grow and expand to broader populations, such as pregnant people with type 1 diabetes, people with type 2 diabetes treated only with basal insulin therapy, and even type 2 diabetes that does not require insulin treatment. However, despite the significant risk of hyperglycemia in pregnancy, which leads to complications in more than half of affected newborns, CGM indications and insurance coverage for those patients are unresolved. In this review article, we discuss the latest evidence for using CGM to offer glycemic control and reduce perinatal complications, along with its cost-effectiveness in pregestational type 1 and type 2 diabetes and gestational diabetes mellitus. In addition, we discuss future prospects for CGM coverage and indications based on this evidence.
- Subjects
TYPE 1 diabetes; GESTATIONAL diabetes; TYPE 2 diabetes; PREGNANT women; GLYCEMIC control; BLOOD sugar monitors; INSULIN pumps
- Publication
Endocrinology & Metabolism, 2023, Vol 38, Issue 5, p472
- ISSN
2093-596X
- Publication type
Article
- DOI
10.3803/EnM.2023.1805