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Continuous Subcutaneous Glucose Monitoring System in diabetic mothers during labour and postnatal glucose adaptation of their infants

Stenninger, Erik (author)
Lindqvist, A. (author)
Åman, Jan (author)
Örebro universitet,Hälsoakademin
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Östlund, I. (author)
Schvarcz, E. (author)
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 (creator_code:org_t)
Oxford : Blackwell, 2008
2008
English.
In: Diabetic Medicine. - Oxford : Blackwell. - 0742-3071 .- 1464-5491. ; 25:4, s. 450-454
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Aims  To assess a new technique for continuous monitoring of glucose concentration during labour in diabetic mothers. A second objective was to study maternal glucose levels in relation to postnatal glucose adaptation and the need for intravenous (IV) glucose treatment in the newborn infant.Methods  Fifteen pregnant women with insulin-treated diabetes mellitus participated in this prospective pilot study. To measure their glucose control during labour we used the Continuous Subcutaneous Glucose Monitoring System (CGMS; Medtronic, Minneapolis, MN, USA) to calculate the mean glucose concentration and the area under the curve (AUC) in the last 120 min before delivery. All infants of these women were transferred to the neonatal care unit for early oral feeding and blood glucose measurements up to 14 h after delivery. Infants received IV glucose if blood glucose values were repeatedly < 2.2 mmol/l.Results  All women coped well with the CGMS monitoring. AUC 0–120 min before delivery, mean glucose concentration 0–120 min before delivery and cord plasma insulin level were all significantly associated with the need for IV glucose in the newborn children.Conclusions  In this study we found an association between maternal glucose concentrations during labour and postnatal glucose adaptation and need for IV glucose treatment in the infants. Online monitoring of glucose levels during delivery might help us to achieve maternal normoglycaemia and further reduce the risk of postnatal hypoglycaemia in the offspring.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Keyword

Blood Glucose/*metabolism
Diabetes Mellitus; Type 1/*metabolism
Diabetes; Gestational/*metabolism
Female
Humans
Hyperglycemia/*congenital
Infant; Newborn/*metabolism
Monitoring; Physiologic/methods
Pregnancy
Pregnancy in Diabetics/*metabolism
Prospective Studies
Treatment Outcome
MEDICINE
MEDICIN
Internal medicine
Invärtesmedicin
Diabetology
Diabetologi
Invärtesmedicin
Internal Medicine

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By the author/editor
Stenninger, Erik
Lindqvist, A.
Åman, Jan
Östlund, I.
Schvarcz, E.
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Endocrinology an ...
Articles in the publication
Diabetic Medicin ...
By the university
Örebro University

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