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

del Mar Morales M.; Acho E.; Castrillón C.; Marcelo H.; Vera E.; López E.; Zhang C.; Leey J. · Revista Peruana de Ginecologia y Obstetricia (2022) · DOI: 10.31403/rpgo.v68i2436

Resumen

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.

Instituciones: Universidad Peruana Cayetano Heredia; Universidad Nacional Mayor de San Marcos