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持续血糖监测在孕期的作用。

The role of continuous glucose monitoring in pregnancy.

作者信息

Li Adrian, Brackenridge Anna

机构信息

Department of Diabetes & Endocrinology, King's College Hospital, London, UK.

Department of Diabetes & Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK.

出版信息

Obstet Med. 2022 Mar;15(1):6-10. doi: 10.1177/1753495X211014716. Epub 2021 May 27.

DOI:10.1177/1753495X211014716
PMID:35444725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9014555/
Abstract

The risks associated with diabetes in pregnancy include congenital anomalies, stillbirth and miscarriage, and correlate with glycaemia. The optimisation of diabetes during pregnancy is therefore both challenging and essential. Technology has revolutionised how clinicians and patients manage diabetes. This review article focuses on the role of continuous glucose monitoring (CGM) in pregnancy, assessing the evidence available and providing an update on current guidance.

摘要

妊娠糖尿病相关风险包括先天性异常、死产和流产,且与血糖水平相关。因此,孕期糖尿病的优化管理既具有挑战性又至关重要。技术已经彻底改变了临床医生和患者管理糖尿病的方式。这篇综述文章聚焦于持续葡萄糖监测(CGM)在妊娠中的作用,评估现有证据并提供当前指南的最新情况。

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Obstet Med. 2022 Mar;15(1):6-10. doi: 10.1177/1753495X211014716. Epub 2021 May 27.
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引用本文的文献

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World J Methodol. 2024 Mar 20;14(1):90316. doi: 10.5662/wjm.v14.i1.90316.
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Oral glucose tolerance test and continuous glucose monitoring for gestational diabetes diagnosis: a survey study of women and health care professionals.口服葡萄糖耐量试验和连续血糖监测在妊娠期糖尿病诊断中的应用:一项针对女性和医护专业人员的调查研究。
Arch Gynecol Obstet. 2024 Feb;309(2):483-489. doi: 10.1007/s00404-023-06949-2. Epub 2023 Feb 5.

本文引用的文献

1
Performance of the Dexcom G6 Continuous Glucose Monitoring System in Pregnant Women with Diabetes.德康 G6 连续血糖监测系统在糖尿病孕妇中的性能表现。
Diabetes Technol Ther. 2020 Dec;22(12):943-947. doi: 10.1089/dia.2020.0085.
2
Continuous Glucose Monitoring in Pregnancy: Importance of Analyzing Temporal Profiles to Understand Clinical Outcomes.妊娠期间的连续血糖监测:分析时间谱以了解临床结局的重要性。
Diabetes Care. 2020 Jun;43(6):1178-1184. doi: 10.2337/dc19-2527. Epub 2020 Mar 24.
3
Time in range: a new parameter to evaluate blood glucose control in patients with diabetes.血糖达标时间:评估糖尿病患者血糖控制的新参数。
Diabetol Metab Syndr. 2020 Mar 16;12:22. doi: 10.1186/s13098-020-00529-z. eCollection 2020.
4
Application and Utility of Continuous Glucose Monitoring in Pregnancy: A Systematic Review.持续葡萄糖监测在妊娠中的应用与效用:一项系统评价
Front Endocrinol (Lausanne). 2019 Oct 11;10:697. doi: 10.3389/fendo.2019.00697. eCollection 2019.
5
Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range.临床连续血糖监测数据解读目标:时间范围国际共识推荐意见。
Diabetes Care. 2019 Aug;42(8):1593-1603. doi: 10.2337/dci19-0028. Epub 2019 Jun 8.
6
Modelling potential cost savings from use of real-time continuous glucose monitoring in pregnant women with Type 1 diabetes.对患有 1 型糖尿病的孕妇使用实时连续血糖监测的潜在成本节约进行建模。
Diabet Med. 2019 Dec;36(12):1652-1658. doi: 10.1111/dme.14046. Epub 2019 Jul 4.
7
Continuous glucose monitoring in pregnant women with type 1 diabetes: an observational cohort study of 186 pregnancies.1 型糖尿病孕妇的连续血糖监测:186 例妊娠的观察性队列研究。
Diabetologia. 2019 Jul;62(7):1143-1153. doi: 10.1007/s00125-019-4850-0. Epub 2019 Mar 23.
8
Suboptimal Nocturnal Glucose Control Is Associated With Large for Gestational Age in Treated Gestational Diabetes Mellitus.夜间血糖控制不佳与治疗后的妊娠期糖尿病巨大儿有关。
Diabetes Care. 2019 May;42(5):810-815. doi: 10.2337/dc18-2212. Epub 2019 Feb 14.
9
Does continuous glucose monitoring during pregnancy improve glycaemic and health outcomes in women with type 1 diabetes?-what the CONCEPTT trial adds.孕期持续血糖监测能否改善1型糖尿病女性的血糖及健康结局?——CONCEPTT试验的新发现
Ann Transl Med. 2018 May;6(10):188. doi: 10.21037/atm.2018.03.08.
10
Continuous glucose monitoring during diabetic pregnancy (GlucoMOMS): A multicentre randomized controlled trial.糖尿病妊娠期间的连续血糖监测(GlucoMOMS):一项多中心随机对照试验。
Diabetes Obes Metab. 2018 Aug;20(8):1894-1902. doi: 10.1111/dom.13310. Epub 2018 May 8.