Self-monitoring of blood glucose in gestational diabetes.
Numerous studies have clearly demonstrated a significant association between maternal glycemic control and adverse outcomes in pregnancies complicated by gestational diabetes. However, despite our understanding of the importance of stringent glucose control in the management of these pregnancies, the definition of optimal glycemic control and monitoring protocols have yet to be firmly established. This article reviews current evidence regarding the efficacy of self-monitoring of blood glucose in the management of gestational diabetes. The role of various self-monitoring protocols and their impact on outcome is also explored. Areas where further investigations are needed in terms of glucose assessment are highlighted.
Homko
C J
CJ
General Clinical Research Center, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA.
Reece
E A
EA
D015190:Blood Glucose Self-Monitoring / Q000191:economics; D016640:Diabetes, Gestational / Q000097:blood* / Q000523:psychology; D005260:Female; D006801:Humans; D011247:Pregnancy; D015203:Reproducibility of Results; D013997:Time Factors