May 15, 2003

Self-monitoring of blood glucose in gestational diabetes mellitus

Diabetes & Metabolism
P Fontaine

Abstract

About 6% of all pregnancies are complicated by gestational diabetes mellitus in France. Consensus is obtained for defining but not for the screening and diagnosis criteria. Management of gestational diabetes mellitus reduce materno-foetal morbidity. Postprandial blood glucose peaks are highly predictive of macrosomia and have to be controlled in strict rates: less than 1.40 g/liter one hour after meal and less than 1.20 g/liter two hours after meal. Self-monitoring of blood glucose allows to start more rapidly insulintherapy, to obtain a better glycemic control and to reduce macrosomia. The impact of self-monitoring appears to be lower in the management of diet-controlled gestational diabetes. After delivery, self-monitoring of blood glucose can be used to control normalisation of blood glucose of women with high risk of type 2 diabetes mellitus.

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Mentioned in this Paper

Patient Non-Compliance
Diabetes Mellitus, Non-Insulin-Dependent
Morbidity Aspects
Gestational Diabetes
Novolin
Blood Glucose Measurement
Self-Management
Fetal Macrosomia
Blood Glucose Self-Monitoring
Hypoglycemic Effect

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