The Use of Continuous Glucose Monitoring Systems in the Diagnosis and Monitoring of Gestational Diabetes Mellitus and Diabetes in Pregnancy - A Review of the Literature

Background: Gestational diabetes mellitus (GDM) and preexisting diabetes present significant risks to maternal and neonatal health. Continuous glucose monitoring (CGM) has emerged as a valuable tool for optimizing glycemic control during pregnancy, offering real-time data and insights beyond tradit...

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Main Authors: Kacper Lenart, Julia Kwaśna, Adrianna Załęska, Szymon Bednarek, Izabela Kaźmierczyk, Mateusz Górski, Michał Homza, Mateusz Bychowski, Natalia Zakrzewska, Joanna Kulicka
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2024-12-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/56418
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author Kacper Lenart
Julia Kwaśna
Adrianna Załęska
Szymon Bednarek
Izabela Kaźmierczyk
Mateusz Górski
Michał Homza
Mateusz Bychowski
Natalia Zakrzewska
Joanna Kulicka
author_facet Kacper Lenart
Julia Kwaśna
Adrianna Załęska
Szymon Bednarek
Izabela Kaźmierczyk
Mateusz Górski
Michał Homza
Mateusz Bychowski
Natalia Zakrzewska
Joanna Kulicka
author_sort Kacper Lenart
collection DOAJ
description Background: Gestational diabetes mellitus (GDM) and preexisting diabetes present significant risks to maternal and neonatal health. Continuous glucose monitoring (CGM) has emerged as a valuable tool for optimizing glycemic control during pregnancy, offering real-time data and insights beyond traditional methods.  Objective: This review evaluates the role of CGM in the management and diagnosis of diabetes during pregnancy, focusing on its clinical efficacy, impact on maternal and neonatal outcomes. Methods: A systematic literature search was conducted, covering studies published between 2017 and 2024. Inclusion criteria targeted studies assessing CGM in pregnant populations with GDM, T1D, or T2D. Data were synthesized to highlight maternal glycemic control metrics, neonatal outcomes, and limitations of CGM use. Results: CGM, particularly real-time CGM (rt-CGM), significantly improves maternal glycemic control. Enhanced glycemic management has been associated with reduced risks of large-for-gestational-age (LGA) births, macrosomia, and preeclampsia, particularly in women with T1D. Conclusion: CGM is a transformative tool in managing diabetes during pregnancy, providing critical insights into glycemic trends and enabling personalized care. While its benefits in improving maternal outcomes are clear, further research is needed to ensure equitable access.
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spelling doaj-art-487082c1e5c94f249ba4149c0e002a142024-12-17T08:22:32ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182024-12-013510.12775/QS.2024.35.56418The Use of Continuous Glucose Monitoring Systems in the Diagnosis and Monitoring of Gestational Diabetes Mellitus and Diabetes in Pregnancy - A Review of the LiteratureKacper Lenart0https://orcid.org/0009-0003-5092-8835Julia Kwaśna1https://orcid.org/0009-0006-2314-2329Adrianna Załęska2https://orcid.org/0009-0004-6772-3956Szymon Bednarek3https://orcid.org/0009-0001-3189-8322Izabela Kaźmierczyk4https://orcid.org/0009-0006-7798-7765Mateusz Górski5https://orcid.org/0009-0003-3473-132XMichał Homza6https://orcid.org/0009-0002-4651-5520Mateusz Bychowski7https://orcid.org/0009-0004-9034-2756Natalia Zakrzewska8https://orcid.org/0009-0003-0405-2764Joanna Kulicka9https://orcid.org/0009-0009-1614-482XMedical University of ŁódźMedical University of GdanskMedical University of ŁódźMedical University of ŁódźMedical University of ŁódźMedical University of ŁódźMedical University of ŁódźMedical University of ŁódźMedical University of ŁódźUniwersytet Medyczny w Łodzi Background: Gestational diabetes mellitus (GDM) and preexisting diabetes present significant risks to maternal and neonatal health. Continuous glucose monitoring (CGM) has emerged as a valuable tool for optimizing glycemic control during pregnancy, offering real-time data and insights beyond traditional methods.  Objective: This review evaluates the role of CGM in the management and diagnosis of diabetes during pregnancy, focusing on its clinical efficacy, impact on maternal and neonatal outcomes. Methods: A systematic literature search was conducted, covering studies published between 2017 and 2024. Inclusion criteria targeted studies assessing CGM in pregnant populations with GDM, T1D, or T2D. Data were synthesized to highlight maternal glycemic control metrics, neonatal outcomes, and limitations of CGM use. Results: CGM, particularly real-time CGM (rt-CGM), significantly improves maternal glycemic control. Enhanced glycemic management has been associated with reduced risks of large-for-gestational-age (LGA) births, macrosomia, and preeclampsia, particularly in women with T1D. Conclusion: CGM is a transformative tool in managing diabetes during pregnancy, providing critical insights into glycemic trends and enabling personalized care. While its benefits in improving maternal outcomes are clear, further research is needed to ensure equitable access. https://apcz.umk.pl/QS/article/view/56418continuous glucose monitoringpregnancygestational diabetes mellitustype 1 diabetesmaternal outcomesneonatal outcomes
spellingShingle Kacper Lenart
Julia Kwaśna
Adrianna Załęska
Szymon Bednarek
Izabela Kaźmierczyk
Mateusz Górski
Michał Homza
Mateusz Bychowski
Natalia Zakrzewska
Joanna Kulicka
The Use of Continuous Glucose Monitoring Systems in the Diagnosis and Monitoring of Gestational Diabetes Mellitus and Diabetes in Pregnancy - A Review of the Literature
Quality in Sport
continuous glucose monitoring
pregnancy
gestational diabetes mellitus
type 1 diabetes
maternal outcomes
neonatal outcomes
title The Use of Continuous Glucose Monitoring Systems in the Diagnosis and Monitoring of Gestational Diabetes Mellitus and Diabetes in Pregnancy - A Review of the Literature
title_full The Use of Continuous Glucose Monitoring Systems in the Diagnosis and Monitoring of Gestational Diabetes Mellitus and Diabetes in Pregnancy - A Review of the Literature
title_fullStr The Use of Continuous Glucose Monitoring Systems in the Diagnosis and Monitoring of Gestational Diabetes Mellitus and Diabetes in Pregnancy - A Review of the Literature
title_full_unstemmed The Use of Continuous Glucose Monitoring Systems in the Diagnosis and Monitoring of Gestational Diabetes Mellitus and Diabetes in Pregnancy - A Review of the Literature
title_short The Use of Continuous Glucose Monitoring Systems in the Diagnosis and Monitoring of Gestational Diabetes Mellitus and Diabetes in Pregnancy - A Review of the Literature
title_sort use of continuous glucose monitoring systems in the diagnosis and monitoring of gestational diabetes mellitus and diabetes in pregnancy a review of the literature
topic continuous glucose monitoring
pregnancy
gestational diabetes mellitus
type 1 diabetes
maternal outcomes
neonatal outcomes
url https://apcz.umk.pl/QS/article/view/56418
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