10 Tests a Day Recommended for Pregnant Patients With Diabetes

From the Spring Research Guide

| Apr 1, 2006

Dutch researchers say that treatment of diabetes in pregnant women should be aimed at achieving A1C levels within the range of 6% or less. They add that “a minimum of 10 self-monitored blood glucose determinations daily is necessary to obtain adequate information of all daily glucose fluctuations.”

Pregnancies in women with type 1 have been associated with complications despite keeping A1Cs at the ADA-recommended level of 7% or less. Against this background, the researchers sought to answer two questions:

  1. Are A1C levels within 1% above normal appropriate in pregnant women with type 1 diabetes, or should treatment be aimed at normal A1C levels?
  2. How many self-monitored blood-glucose (SMBG) levels are needed per day to obtain an adequate image of [blood glucose] control in pregnant women with type 1 diabetes?

The researchers asked 43 pregnant women with type 1 to use the continuous glucose monitoring system (CGMS) once in each trimester of pregnancy while continuing their SMBG measurements. Glucose levels measured with the CGMS were compared between patients with A1C levels of 4% to 6%, 6% to 7% and greater than 7%.

It was discovered that in patients with A1Cs less than 6%, the glucose levels obtained by CGMS were significantly better than in patients with A1Cs greater than 6%.

“In women with A1C levels of 6% to 7% and [greater than] 7%, these levels did not differ,” say the researchers. “The detection rate of hyper- and hypoglycemic episodes was significantly higher in patients with 10 or more SMBG determinations daily than in patients with fewer than 10.”

Diabetologia, December 2005

Click Here To View Or Post Comments

Categories: A1c Test, Blood Glucose, Diabetes, Diabetes, Pregnancy, Professional Issues, Type 1 Issues, Women's Issues

Diabetes Health Professional
Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only
  • 12th Annual Product Reference Guide
  • Insulin Syringe Chart
  • Insulin Pen Needles Chart
  • Fast-Acting Glucose
  • Sharps Disposal
  • Blood Glucose Meters Chart
  • Insulin Pumps Chart
See the entire table of contents here!

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter

Top Rated
Print | Email | Share | Comments (0)

You May Also Be Interested In...


Add your comments about this article below. You can add comments as a registered user or anonymously. If you choose to post anonymously your comments will be sent to our moderator for approval before they appear on this page. If you choose to post as a registered user your comments will appear instantly.

When voicing your views via the comment feature, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove comments when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any comments posted.

Don't have your Diabetes Health Username? Register now and add your comments to all our content.

Have Your Say...

Username: Password:
©1991-2015 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.