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Review
. 2024 Sep;53(3):321-333.
doi: 10.1016/j.ecl.2024.05.001.

Updates in the Management of Type 1 Diabetes in Pregnancy

Alon Y Mazori  1 , Carol J Levy  2
Affiliations
Review

Updates in the Management of Type 1 Diabetes in Pregnancy

Alon Y Mazori et al. Endocrinol Metab Clin North Am. 2024 Sep.

Abstract

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.

Keywords: Continuous glucose monitoring; Insulin; Insulin pump; Maternal/fetal outcomes; Pregnancy; Type 1 diabetes.

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Conflict of interest statement

Disclosure C.J. Levy has received research support from Insulet, United States, Abbott Diabetes, Tandem Diabetes, Mannkind, and Dexcom, United States paid to her institution, research supplies from Dexcom, and has received consulting fees from Dexcom and Eli Lilly.

MeSH terms