Managing Diabetes in Pregnancy Before, During, and After COVID-19

Murphy, Helen R. (2020) Managing Diabetes in Pregnancy Before, During, and After COVID-19. Diabetes Technology and Therapeutics, 22 (6). pp. 454-461. ISSN 1520-9156

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Abstract

Background: Pregnant women with diabetes are identified as being more vulnerable to the severe effects of COVID-19 and advised to stringently follow social distancing measures. Here, we review the management of diabetes in pregnancy before and during the lockdown. Methods: Majority of antenatal diabetes and obstetric visits are provided remotely, with pregnant women attending hospital clinics only for essential ultrasound scans and labor and delivery. Online resources for supporting women planning pregnancy and for self-management of pregnant women with type 1 diabetes (T1D) using intermittent or continuous glucose monitoring are provided. Retinal screening procedures, intrapartum care, and the varying impact of lockdown on maternal glycemic control are considered. Alternative screening procedures for diagnosing hyperglycemia during pregnancy and gestational diabetes mellitus (GDM) are discussed. Case histories describe the remote initiation of insulin pump therapy and automated insulin delivery in T1D pregnancy. Results: Initial feedback suggests that video consultations are well received and that the patient experiences for women requiring face-to-face visits are greatly improved. As the pandemic eases, formal evaluation of remote models of diabetes education and technology implementation, including women's views, will be important. Conclusions: Research and audit activities will resume and we will find new ways for supporting pregnant women with diabetes to choose their preferred glucose monitoring and insulin delivery.

Item Type: Article
Uncontrolled Keywords: closed-loop,continuous glucose monitoring,covid-19,diabetes pregnancy,gestational diabetes,insulin pump therapy,type 1diabetes,type 2 diabetes,endocrinology, diabetes and metabolism,endocrinology,medical laboratory technology ,/dk/atira/pure/subjectarea/asjc/2700/2712
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 23 Jul 2020 23:47
Last Modified: 23 Jul 2020 23:47
URI: https://ueaeprints.uea.ac.uk/id/eprint/76252
DOI: 10.1089/dia.2020.0223

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