[Self-monitoring of blood glucose in gestational diabetes mellitus].
About 6% of all pregnancies are complicated by gestational diabetes mellitus in France. Consensus is obtained for defining but not for the screening and diagnosis criteria. Management of gestational diabetes mellitus reduce materno-foetal morbidity. Postprandial blood glucose peaks are highly predictive of macrosomia and have to be controlled in strict rates: less than 1.40 g/liter one hour after meal and less than 1.20 g/liter two hours after meal. Self-monitoring of blood glucose allows to start more rapidly insulintherapy, to obtain a better glycemic control and to reduce macrosomia. The impact of self-monitoring appears to be lower in the management of diet-controlled gestational diabetes. After delivery, self-monitoring of blood glucose can be used to control normalisation of blood glucose of women with high risk of type 2 diabetes mellitus.
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Service d'Endocrinologie et Diabétologie, Clinique Marc-Linquette, 6, rue Pr-Laguesse, 59037 Lille Cedex, France.
D015190:Blood Glucose Self-Monitoring; D016640:Diabetes, Gestational / Q000097:blood* / Q000188:drug therapy / Q000453:epidemiology; D005260:Female; D005320:Fetal Macrosomia / Q000517:prevention & control; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007231:Infant, Newborn; D007328:Insulin / Q000627:therapeutic use; D010349:Patient Compliance; D011247:Pregnancy; D012648:Self Care
D007004:Hypoglycemic Agents; D007328:Insulin