Evaluation of a new real-time blood continuous glucose monitoring system in pregnant women without gestational diabetes: a pilot study.
The incidence of gestational diabetes mellitus (GDM) has reached epidemic proportions in the United States, affecting 200,000 pregnant women annually. Controversies exist regarding whether the glucose levels used to diagnose GDM in pregnancy should be lowered since similar fetal complications are se...
| Published in: | Journal of Perinatal & Neonatal Nursing Vol. 18; no. 2; pp. 93 - 103 |
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| Main Authors: | , , |
| Format: | research tables/charts Journal Article |
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Lippincott Williams & Wilkins
Apr-Jun2004
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106767822&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106767822 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08932190 0O1 jtl: Journal of Perinatal & Neonatal Nursing issn: 08932190 maglogo: N pubinfo: dt: Apr-Jun2004 vid: 18 iid: 2 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106767822 106767822 2004137324 10.1097/00005237-200404000-00004 NLM15214248 106767822 ppf: 93 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Evaluation of a new real-time blood continuous glucose monitoring system in pregnant women without gestational diabetes: a pilot study. aug: au: Porter H Lookinland S Belfort MA affil: Utah Valley Regional Medical Center, Provo, UT sug: subj: Blood Glucose Monitoring In Pregnancy Diabetes Mellitus, Gestational Pregnancy Outcomes Evaluation Adult Ambulatory Care Birth Weight Blood Glucose Meters Comparative Studies Convenience Sample Correlational Studies Descriptive Research Descriptive Statistics Diabetes Mellitus, Gestational Complications Diabetes Mellitus, Gestational Epidemiology Diet Records Female Kendall's tau Pearson's Correlation Coefficient Pilot Studies Polyhydramnios Pregnancy Pregnancy, High Risk T-Tests Two-Tailed Test Type II Error Ultrasonography, Prenatal Utah Human Adult: 19-44 years Female ab: The incidence of gestational diabetes mellitus (GDM) has reached epidemic proportions in the United States, affecting 200,000 pregnant women annually. Controversies exist regarding whether the glucose levels used to diagnose GDM in pregnancy should be lowered since similar fetal complications are seen in women with GDM as well as in nondiabetic women. Although GDM has been extensively studied, the effects of the earlier stage of glucose intolerance are not well understood. The objectives of this descriptive, comparative, correlational pilot study include assessment of real-time blood glucose concentrations in women (20) with idiopathic macrosomia and/or polyhydramnios but with a normal baseline glucose screening test. This group was compared to pregnant women (20) without idiopathic macrosomia and/or polyhydromnios as confirmed by normal ultrasounds (controls). All subjects had a normal screeing test and/or a 3-hour Glucose Tolerance Test earlier in the pregnancy and wore a continuous glucose monitoring system for 72 hours. No adverse maternal complications were seen. Neonatal complications included macrosomia, shoulder dystocia, and hyperbilirubinemia. There was no significant association between real-time blood glucose levels and adverse maternal or fetal/neonatal complications. There is little evidence available regarding real-time physiologic glycemic levels in pregnant women. The findings of our pilot study provide baseline data for the design of a larger study to compare blood glucose levels and complications in euglycemic women and compare to women with those impaired glucose tolerance. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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