Self-monitoring of blood glucose in gestational diabetes.

Abstract

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.

• Authors: C J Homko, E A Reece
• Journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians (J Matern Fetal Neonatal Med) Vol. 12 Issue 6 Pg. 389-95 (Dec 2002) ISSN: 1476-7058 [Print] England
• PMID: 12683649 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S., Review)

Topics

• Blood Glucose Self-Monitoring (economics)
• Diabetes, Gestational (blood, psychology)
• Female
• Humans
• Pregnancy
• Reproducibility of Results
• Time Factors