Glycemic patterns detected by continuous glucose monitoring (CGM) may help diagnose gestational diabetes earlier in pregnancy, which may help improve perinatal outcomes.
In women with gestational diabetes , continuous glucose monitoring shows elevated glycemic metrics earlier in pregnancy compared with the standard oral glucose tolerance test .Earlier diagnosis and treatment of GDM may mitigate some perinatal risks, but the traditional OGTT at 24-28 weeks' gestation delivers inconsistent results in early pregnancy, potentially leading to missed cases or overdiagnosis.
This prospective noninterventional observational study conducted at two US academic-based clinical sites from June 2020 to December 2021 assessed CGM-derived glycemic patterns in 768 participants enrolled prior to 17 weeks' gestation with singleton pregnancy and an initial A1c level 120 mg/dL and > 140 mg/dL and less time 120 mg/dL and > 140 mg/dL ranges were higher in those with GDM as early as 13-14 weeks of gestation, which persisted at each 2-week period prior to OGTT.
Continuous Glucose Monitoring (CGM) CGM Pregnancy Pregnant Gestational Diabetes Hyperglycemia Board Certification Boards Board Recertification Diabetes Mellitus Hypoglycemia Maternal-Fetal Medicine Maternal-Foetal Medicine Pennsylvania Preventive Screening Screening Tolerance
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