Division of Endocrinology, Diabetes, and Metabolism, The Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, USA.
Division of Endocrinology, Diabetes, and Metabolism, The Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1055, New York, NY 10029, USA.
Endocrinol Metab Clin North Am. 2024 Sep;53(3):321-333. doi: 10.1016/j.ecl.2024.05.001.
The care of pregnant individuals with type 1 diabetes mellitus has experienced significant advancements in recent years. Preconception counseling has re-emerged as a core dimension of management. Continuous glucose monitoring plays an increasingly useful and beneficial role in gestational glycemic monitoring, a practice informed by improved maternofetal outcomes. While studies have not shown that continuous subcutaneous insulin infusion is superior to multiple daily injections of insulin for glycemic control, recent work has signaled that hybrid closed-loop systems with pregnancy-specific targets could meaningfully improve glycemic control and potentially ameliorate maternofetal outcomes while reducing self-care burden.
近年来，1 型糖尿病孕妇的护理取得了重大进展。孕前咨询作为管理的核心内容重新出现。连续血糖监测在妊娠期血糖监测中发挥着越来越有用和有益的作用，这一实践是基于改善母婴结局的。虽然研究并未表明连续皮下胰岛素输注在血糖控制方面优于多次胰岛素注射，但最近的研究表明，具有妊娠特异性目标的混合闭环系统可以显著改善血糖控制，并可能改善母婴结局，同时减轻自我护理负担。
