The role of technology in the care of diabetes mellitus in pregnancy: an expert review
Diabetes mellitus is one of the most commonly encountered pregnancy complications and is associated with multiple adverse perinatal outcomes. Technology has progressed to address the unique challenges patients face in managing diabetes mellitus in pregnancy. Technology has bolstered diabetes mellitu...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | AJOG Global Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666577823000862 |
| _version_ | 1797791877865406464 |
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| author | Sydney M. Thayer, MD Kelley J. Williams, MD Megan L. Lawlor, MD |
| author_facet | Sydney M. Thayer, MD Kelley J. Williams, MD Megan L. Lawlor, MD |
| author_sort | Sydney M. Thayer, MD |
| collection | DOAJ |
| description | Diabetes mellitus is one of the most commonly encountered pregnancy complications and is associated with multiple adverse perinatal outcomes. Technology has progressed to address the unique challenges patients face in managing diabetes mellitus in pregnancy. Technology has bolstered diabetes mellitus education with smartphone applications focused on nutrition counseling and carbohydrate intake advice. Continuous glucose monitors and insulin infusion systems have shown benefit by simplifying glycemic monitoring and insulin administration. Improvements in glycemic control and perinatal outcomes have been seen with continuous glucose monitor use when compared with intermittent blood glucose monitoring, and more pregnant people are using insulin pumps instead of multiple daily insulin injections. Hybrid closed-loop systems are emerging and are able to integrate continuous glucose monitoring and insulin pump technologies while maximizing automated features in the nonpregnant population, but these have not been endorsed for use in pregnancy yet. Applying telehealth practices has been associated with high patient satisfaction among those with diabetes mellitus in pregnancy, and leveraging remote patient monitoring through telehealth platforms and short-range wireless technologies can reduce the burden of patient visits. As technology becomes more integrated into routine management of diabetes mellitus in pregnancy, practitioners should emphasize individualized counseling and device selection to ensure patient autonomy and safety. |
| first_indexed | 2024-03-13T02:25:06Z |
| format | Article |
| id | doaj.art-649d178693564d16a65ad0924f8e3eae |
| institution | Directory Open Access Journal |
| issn | 2666-5778 |
| language | English |
| last_indexed | 2024-03-13T02:25:06Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJOG Global Reports |
| spelling | doaj.art-649d178693564d16a65ad0924f8e3eae2023-06-30T04:22:59ZengElsevierAJOG Global Reports2666-57782023-08-0133100245The role of technology in the care of diabetes mellitus in pregnancy: an expert reviewSydney M. Thayer, MD0Kelley J. Williams, MD1Megan L. Lawlor, MD2Department of Obstetrics and Gynecology, Washington University in St Louis, St Louis, MO (Drs Thayer and Lawlor); Corresponding author: Sydney M. Thayer, MD.Division of Endocrinology, Washington University in St Louis, St Louis, MO (Dr Williams)Department of Obstetrics and Gynecology, Washington University in St Louis, St Louis, MO (Drs Thayer and Lawlor)Diabetes mellitus is one of the most commonly encountered pregnancy complications and is associated with multiple adverse perinatal outcomes. Technology has progressed to address the unique challenges patients face in managing diabetes mellitus in pregnancy. Technology has bolstered diabetes mellitus education with smartphone applications focused on nutrition counseling and carbohydrate intake advice. Continuous glucose monitors and insulin infusion systems have shown benefit by simplifying glycemic monitoring and insulin administration. Improvements in glycemic control and perinatal outcomes have been seen with continuous glucose monitor use when compared with intermittent blood glucose monitoring, and more pregnant people are using insulin pumps instead of multiple daily insulin injections. Hybrid closed-loop systems are emerging and are able to integrate continuous glucose monitoring and insulin pump technologies while maximizing automated features in the nonpregnant population, but these have not been endorsed for use in pregnancy yet. Applying telehealth practices has been associated with high patient satisfaction among those with diabetes mellitus in pregnancy, and leveraging remote patient monitoring through telehealth platforms and short-range wireless technologies can reduce the burden of patient visits. As technology becomes more integrated into routine management of diabetes mellitus in pregnancy, practitioners should emphasize individualized counseling and device selection to ensure patient autonomy and safety.http://www.sciencedirect.com/science/article/pii/S2666577823000862blood glucose monitoringcarbohydrate countingcontinuous glucose monitorcontinuous subcutaneous insulin infusiondiabetes mellitusdiabetes mellitus education |
| spellingShingle | Sydney M. Thayer, MD Kelley J. Williams, MD Megan L. Lawlor, MD The role of technology in the care of diabetes mellitus in pregnancy: an expert review AJOG Global Reports blood glucose monitoring carbohydrate counting continuous glucose monitor continuous subcutaneous insulin infusion diabetes mellitus diabetes mellitus education |
| title | The role of technology in the care of diabetes mellitus in pregnancy: an expert review |
| title_full | The role of technology in the care of diabetes mellitus in pregnancy: an expert review |
| title_fullStr | The role of technology in the care of diabetes mellitus in pregnancy: an expert review |
| title_full_unstemmed | The role of technology in the care of diabetes mellitus in pregnancy: an expert review |
| title_short | The role of technology in the care of diabetes mellitus in pregnancy: an expert review |
| title_sort | role of technology in the care of diabetes mellitus in pregnancy an expert review |
| topic | blood glucose monitoring carbohydrate counting continuous glucose monitor continuous subcutaneous insulin infusion diabetes mellitus diabetes mellitus education |
| url | http://www.sciencedirect.com/science/article/pii/S2666577823000862 |
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