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On-Demand | Using Diabetes Technology in Pregnancy
Recording | Using Diabetes Technology in Pregnancy
Recording | Using Diabetes Technology in Pregnancy
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Video Transcription
Video Summary
Dr. Sarah McLeod, an endocrinologist, presents a comprehensive overview of diabetes technology use during pregnancy, focusing on types of diabetes encountered, glycemic targets, and current technological systems like CGMs (continuous glucose monitors) and automated insulin delivery (AID) systems. She begins by differentiating gestational diabetes, pre-existing type 1, and type 2 diabetes in pregnancy, emphasizing the rising prevalence of diabetes alongside the obesity epidemic. Screening for gestational diabetes typically occurs between 24 and 28 weeks, with earlier screening advised for high-risk individuals.<br /><br />Glycemic control is crucial both preconception and during pregnancy to reduce maternal and fetal complications such as congenital malformations, preterm delivery, and neonatal metabolic issues. CGMs are now recommended, especially for type 1 diabetes in pregnancy, aiding better glucose monitoring and management. Dr. McLeod reviews various FDA-approved CGMs and insulin pumps—including tubeless options—and their accuracy and usability. She highlights that except for certain systems like the CamAPS FX hybrid closed loop, most AID systems are not FDA-approved for pregnancy, though studies support their safe and effective use.<br /><br />Key trials such as the CONCEPT and AI-DAPT demonstrate improved glycemic control and neonatal outcomes with CGM and closed-loop insulin delivery in pregnant women with type 1 diabetes. She also discusses management challenges like severe insulin resistance and hypoglycemia risk. Dr. McLeod stresses individualized care, integrating technology with patient preferences and clinical expertise. Lastly, she addresses common concerns during a Q&A, reinforcing the role of advanced diabetes technology in optimizing pregnancy outcomes.
Keywords
Diabetes in pregnancy
Gestational diabetes
Type 1 diabetes
Type 2 diabetes
Continuous glucose monitors (CGMs)
Automated insulin delivery (AID) systems
Glycemic control
Insulin pumps
Pregnancy screening
Diabetes technology
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