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Diabetic Pregnant Glucose Levels

A pioneer study that continuously monitored glucose levels throughout pregnancy revealed significant changes in glycemic control between women with type 1 and type 2 diabetes.

Forty women with type 1 diabetes and 17 with type 2 were subjected to continous glucose monitoring for seven days during each trimester of pregnancy. Dr. Helen R. Murphy and colleagues at Ipswich Hospital NHS in the United Kingdom spearheaded the study, the results of which appeared in the November 2007 issue of Diabetes Care.

Unfortunately for type 1 diabetics, study results showed just how difficult it is to maintain treatment targets for glucose levels. It was found that type 2 diabetics spent about one’third more time within a normal glucose level range (70mg/dL to 140mg/dL) than type 1 diabetics.

It was also reported that hyperglycemia or elevated glucose levels (greater than 140mg/dL) decreased as the pregnancies advanced, and that type 2 diabetics spent only two thirds as much time with high blood sugar levels than women with type 1 diabetes. Type 2 diabetics also experienced shorter bouts of extreme hyperglycemia (greater than 200mg/dL). On the other hand, type 1 diabetics experienced more time hypoglycemic than type 2 diabetics.

However, researchers found that pregnant women with both types of diabetes did not differ in the critical stage of early pregnancy when diabetic women had normal glucose for an average of only half of a 12-hour day – a “particularly alarming” finding. according to researchers.

It was concluded that findings of the study is beneficial for physicians and healthcare professionals who are trying to maximize glycemic control in pregnancy and for researchers who want to improve upon treatments in pregnant women with diabetes.

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