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. 2017 Oct 29;2017(10):CD011069. doi: 10.1002/14651858.CD011069.pub2

Comparison 2. Self‐monitoring versus periodic glucose monitoring.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Hypertensive disorders of pregnancy: pre‐eclampsia 1 58 Risk Ratio (M‐H, Fixed, 95% CI) 0.18 [0.01, 3.49]
2 Caesarean section 2 400 Risk Ratio (M‐H, Random, 95% CI) 1.18 [0.61, 2.27]
3 Perinatal mortality 2 400 Risk Ratio (M‐H, Fixed, 95% CI) 1.54 [0.21, 11.24]
4 Large‐for‐gestational age 2 400 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.50, 1.37]
5 Placental abruption 1 58 Risk Ratio (M‐H, Fixed, 95% CI) 2.63 [0.11, 61.88]
6 Postpartum haemorrhage 1 58 Risk Ratio (M‐H, Fixed, 95% CI) 2.63 [0.11, 61.88]
7 Gestational weight gain (kg/week) 1 342 Mean Difference (IV, Fixed, 95% CI) ‐0.1 [‐0.15, ‐0.05]
7.1 1‐hour post‐breakfast glucose < 7.8 mmol/L 1 227 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐0.17, ‐0.03]
7.2 1‐hour post‐breakfast glucose ≥ 7.8 mmol/L 1 115 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐0.17, ‐0.03]
8 Gestational weight gain (lb) 1 58 Mean Difference (IV, Fixed, 95% CI) ‐5.5 [‐13.57, 2.57]
9 Adherence to the intervention: < 70% adherence to home blood glucose measurements or diabetes outpatient clinic appointments 1 342 Risk Ratio (M‐H, Fixed, 95% CI) 0.74 [0.32, 1.71]
10 Adherence to the intervention: Dietary Compliance Questionnaire 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
10.1 Total compliance score 1 58 Mean Difference (IV, Fixed, 95% CI) 1.5 [‐0.47, 3.47]
10.2 Mean compliance score 1 58 Mean Difference (IV, Fixed, 95% CI) 0.0 [‐0.40, 0.40]
11 Sense of well‐being and quality of life: Diabetes Empowerment Scale delta scores 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
11.1 Overall 1 47 Mean Difference (IV, Fixed, 95% CI) 3.70 [‐2.08, 9.48]
11.2 Setting goals 1 47 Mean Difference (IV, Fixed, 95% CI) 0.65 [‐1.10, 2.40]
11.3 Solving problems 1 47 Mean Difference (IV, Fixed, 95% CI) 1.35 [‐0.37, 3.07]
11.4 Motivating oneself 1 47 Mean Difference (IV, Fixed, 95% CI) 0.63 [‐0.89, 2.15]
11.5 Obtaining support 1 47 Mean Difference (IV, Fixed, 95% CI) 0.94 [‐0.09, 1.97]
11.6 Making decisions 1 47 Mean Difference (IV, Fixed, 95% CI) 0.01 [‐1.39, 1.41]
12 Sense of well‐being and quality of life: emotional adjustment: Appraisal of Diabetes Scale delta scores 1 47 Mean Difference (IV, Fixed, 95% CI) 1.20 [‐0.88, 3.28]
13 Use of additional pharmacotherapy: insulin 2 400 Risk Ratio (M‐H, Fixed, 95% CI) 1.31 [0.69, 2.48]
14 Glycaemic control: pre‐prandial blood glucose (mmol/L) 2 360 Mean Difference (IV, Random, 95% CI) 0.06 [‐0.08, 0.19]
14.1 Breakfast glucose < 7.8 mmol/L 1 192 Mean Difference (IV, Random, 95% CI) 0.10 [‐0.03, 0.23]
14.2 Breakfast glucose ≥ 7.8 mmol/L 1 110 Mean Difference (IV, Random, 95% CI) 0.10 [‐0.07, 0.27]
14.3 All women 1 58 Mean Difference (IV, Random, 95% CI) ‐0.21 [‐0.54, 0.12]
15 Glycaemic control: 1‐hour post‐prandial blood glucose (mmol/L) 2 395 Mean Difference (IV, Random, 95% CI) ‐0.09 [‐0.60, 0.42]
15.1 1‐hour post‐breakfast glucose > 7.8 mmol/L 1 222 Mean Difference (IV, Random, 95% CI) 0.0 [‐0.19, 0.19]
15.2 1‐hour post‐breakfast glucose ≥ 7.8 mmol/L 1 115 Mean Difference (IV, Random, 95% CI) ‐0.60 [‐0.90, ‐0.30]
15.3 All women 1 58 Mean Difference (IV, Random, 95% CI) 0.47 [‐0.12, 1.06]
16 Stillbirth 2 400 Risk Ratio (M‐H, Fixed, 95% CI) 1.54 [0.21, 11.24]
17 Neonatal death 1 58 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
18 Gestational age at birth (weeks) 2 400 Mean Difference (IV, Fixed, 95% CI) ‐0.03 [‐0.32, 0.27]
18.1 1‐hour post‐breakfast glucose < 7.8 mmol/L 1 227 Mean Difference (IV, Fixed, 95% CI) ‐0.20 [‐0.59, 0.19]
18.2 1‐hour post‐breakfast glucose ≥ 7.8 mmol/L 1 115 Mean Difference (IV, Fixed, 95% CI) 0.20 [‐0.31, 0.71]
18.3 All neonates 1 58 Mean Difference (IV, Fixed, 95% CI) 0.30 [‐0.78, 1.38]
19 Macrosomia 1 342 Risk Ratio (M‐H, Fixed, 95% CI) 0.94 [0.53, 1.67]
20 Small‐for‐gestational age 1 342 Risk Ratio (M‐H, Fixed, 95% CI) 1.19 [0.53, 2.67]
21 Birthweight (kg) 2 400 Mean Difference (IV, Fixed, 95% CI) ‐40.22 [‐148.37, 67.93]
21.1 1‐hour post‐breakfast glucose < 7.8 mmol/L 1 227 Mean Difference (IV, Fixed, 95% CI) ‐10.0 [‐145.47, 125.47]
21.2 1‐hour post‐breakfast glucose ≥ 7.8 mmol/L 1 115 Mean Difference (IV, Fixed, 95% CI) ‐70.0 [‐283.34, 143.34]
21.3 All neonates 1 58 Mean Difference (IV, Fixed, 95% CI) ‐150.0 [‐482.61, 182.61]
22 Birthweight (percentile) 1 342 Mean Difference (IV, Fixed, 95% CI) ‐0.67 [‐6.75, 5.42]
22.1 1‐hour post‐breakfast glucose < 7.8 mmol/L 1 227 Mean Difference (IV, Fixed, 95% CI) 1.5 [‐5.71, 8.71]
22.2 1‐hour post‐breakfast glucose ≥ 7.8 mmol/L 1 115 Mean Difference (IV, Fixed, 95% CI) ‐6.00 [‐17.32, 5.32]
23 Shoulder dystocia 1 342 Risk Ratio (M‐H, Fixed, 95% CI) 0.25 [0.03, 2.19]
24 Neonatal hypoglycaemia 2 391 Risk Ratio (M‐H, Fixed, 95% CI) 0.64 [0.39, 1.06]
25 Hyperbilirubinaemia or jaundice 2 370 Risk Ratio (M‐H, Fixed, 95% CI) 0.63 [0.39, 1.04]
26 Number of antenatal visits or admissions: prenatal visits with the diabetes team 1 58 Mean Difference (IV, Fixed, 95% CI) 0.20 [‐1.09, 1.49]
27 Neonatal intensive care unit admission 1 58 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.13, 5.77]
28 'Birth trauma' (not a prespecified outcome) 1 58 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.06, 13.27]
29 'Respiratory complications' (not a prespecified outcome) 1 58 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.06, 13.27]