Yale University School of Medicine, New Haven, Connecticut; and the School of Medicine, Case Western Reserve University, Cleveland, Ohio.
Obstet Gynecol. 2024 Nov 1;144(5):599-607. doi: 10.1097/AOG.0000000000005710. Epub 2024 Aug 29.
Managing diabetes in pregnancy can be overwhelming, with numerous dramatic physiologic changes taking place that require constant diligence and attention. Advances in diabetes technology have improved glycemic outcomes, well-being, and quality of life for people with type 1 diabetes of all ages. However, regulatory approval and access to diabetes technology in pregnancy has lagged behind these advancements, leaving many pregnant individuals without tools that could dramatically improve diabetes care before, during, and after gestation. Here, we review the benefits of continuous glucose monitors and automated insulin-delivery systems in pregnancy and highlight specific scientific and structural supports to help implement diabetes technology safely, effectively, and equitably in pregnancy.
管理妊娠糖尿病可能会让人感到不知所措,因为有许多戏剧性的生理变化需要不断的努力和关注。糖尿病技术的进步改善了所有年龄段 1 型糖尿病患者的血糖控制效果、健康状况和生活质量。然而,妊娠期间糖尿病技术的监管批准和获取落后于这些进步,使得许多孕妇无法获得可以在妊娠前、妊娠中和妊娠后显著改善糖尿病护理的工具。在这里,我们回顾了连续血糖监测仪和自动胰岛素输送系统在妊娠中的益处,并强调了具体的科学和结构支持,以帮助在妊娠期间安全、有效地公平地实施糖尿病技术。