Glucose monitoring and insulin therapy during pregnancy.
Excellent blood glucose control is necessary to reduce the excess fetal morbidity and mortality associated with the diabetic pregnancy. This article outlines the roles of glucose monitoring and insulin therapy in intensive treatment regimens during gestation. The discussion includes recommended monitoring frequency, glycemic standards, types of insulin and mechanism of action, goals and timing of insulin therapy, as well as the complications of insulin therapy.
Homko
C J
CJ
Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, Philadelphia, Pennsylvania, USA.
Khandelwal
M
M
D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring; D002985:Clinical Protocols; D016640:Diabetes, Gestational / Q000097:blood / Q000188:drug therapy; D005260:Female; D005315:Fetal Diseases / Q000517:prevention & control; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007279:Injections, Subcutaneous; D007328:Insulin / Q000008:administration & dosage / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000097:blood* / Q000188:drug therapy
D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007328:Insulin