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Evidence-Based Nursing 2009;12:43; doi:10.1136/ebn.12.2.43
Copyright © 2009 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.

TREATMENT

Continuous glucose monitoring improved glycaemic control in pregnant women with diabetes and reduced infant macrosomia

The first 150 words of the full text of this article appear below.

H R Murphy

Dr H R Murphy, University of Cambridge, Cambridge, UK; hm386@medschl.cam.ac.uk

QUESTION

Does continuous glucose monitoring (CGM) improve glycaemic control in pregnant women with diabetes and reduce infant macrosomia?

METHODS

Design: randomised controlled trial. Current Controlled Trials ISRCTN84461581 [controlled-trials.com] .

Allocation: concealed.

Blinding: unblinded.

Follow-up period: to delivery.

Setting: 2 diabetes antenatal clinics in the UK.

Patients: 71 pregnant women (mean age 31 y, mean gestational age 9 wks) who had type 1 diabetes (65% of women) or type 2 diabetes (35%) treated with insulin.

Intervention: CGM plus standard antenatal care (n = 38) or standard care alone (n = 33). CGM was done every 4–6 weeks until 32 weeks of gestation. A subcutaneous sensor, attached to a portable monitor, was implanted by a nurse into the woman’s hip and worn for 5–7 days. The device recorded average tissue glucose concentrations every 5 minutes, but results were not available until downloaded . . . [Full text of this article]

Beverley O'Brien

Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada


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