Continuous glucose monitoring during gestation in patients with pregestational type 2 diabetes mellitus

Authors

  • María del Mar Morales Médico, Fellow de endocrinología, Universidad de Florida
  • Edwin Acho Médico Endocrinólogo, Hospital Nacional Docente Madre Niño San Bartolomé
  • Carolina Castrillón Nutricionista, Centro de Nutrición Allikay
  • Humberto Marcelo Médico Ginecólogo obstetra, Hospital Nacional Docente Madre Niño San Bartolomé,
  • Edy Vera Médico Ginecólogo obstetra, Universidad Nacional Mayor de San Marcos
  • Eddy Lopez
  • Cristian Zhang Médico Residente de endocrinología, Hospital Nacional Alberto Sabogal Sologuren
  • Julio Leey Médico Endocrinólogo, Universidad de Florida

DOI:

https://doi.org/10.31403/rpgo.v68i2436

Keywords:

Pregnancy in diabetics, Blood glucose self-monitoring

Abstract

Pregestational diabetes requires strict glycemic control during pregnancy.
Continuous glucose monitoring (CGM) devices measure interstitial glucose levels
without the need for capillary puncture. Four pregnant women with pregestational
type 2 diabetes mellitus were studied with the aid of CGM during 2 weeks of their
gestation. They had weekly nutritional sessions and medical controls with an
endocrinologist. The average glucose level ranged from 82 to 171 mg/dL. The CGM
allowed early changes in the treatment of one patient with hypoglycemia. All patients
stated that the GCM helped them in their food selection. In conclusion, the GCM
helped in carbohydrate recognition and treatment readjustment. The CGM was well
accepted for use.

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Published

2022-09-22

How to Cite

del Mar Morales, M., Acho, E., Castrillón, C., Marcelo, H., Vera, E., Lopez, E., Zhang, C., & Leey, J. (2022). Continuous glucose monitoring during gestation in patients with pregestational type 2 diabetes mellitus. The Peruvian Journal of Gynecology and Obstetrics, 68(3). https://doi.org/10.31403/rpgo.v68i2436

Issue

Section

Casos Clínicos