Table 1. Table 1. Reported cases of insulin degludec use during pregnancy.
Case 1 [7] | Case 2 [7] | Case 3 [7] | Case 4 [6] | Case 5 [6] | Case 6 [8] | Case 7 | |
Mothers | |||||||
Age, years | 37 | 26 | 22 | 34 | 22 | 31 | 33 |
Type of diabetes | 1 | 1 | 1 | 1 | 1 | 2 | 1 |
Diabetes duration, years | 10 | 19 | 13 | 8 | 16 | 3 | 17 |
Pre-pregnancy BMI, kg/m2 | 21.5 | 25 | 21.6 | 22.7 | 36.1 | 33.9 | 27 |
HbA1c (mmol/mol) | |||||||
Pre-conception | 8.5 (69) | 9.4 (79) | 9.2 (77) | 6.3 (45) | 7.7 (61) | 6.6 (49) | 8.9 (74) |
First trimester | 7.2 (55) | 7.4 (57) | 9.9 (85) | 6.0 (42) | 6.6 (49) | 6.6 (49) | 6.1 (43) |
Second trimester | 6.8 (51) | 7.3 (56) | 7.6 (60) | 5.8 (40) | 5.7 (39) | 5.6 (38) | 7.1 (54) |
Third trimester | 6.7 (50) | 6.3 (45) | 8.2 (66) | 5.2 (33) | 5.0 (31) | 6.1 (43) | Not done |
Micro-/macrovascular complications | |||||||
Before pregnancy | NPDR | No | No | No | No | No | PDR |
During pregnancy | No | No | No | No | No | No | Pre-eclampsia |
Degludec treatment during pregnancy, in weeks | 29 | 5 | 7 | 12 | 8 | 38 | 34 |
Weight gain at the end of pregnancy, kg | 6 | 8 | 10 | 9 | 8 | 7 | 14 |
Time of delivery, weeks | 29 | 35 | 37 | 37 | 37 | 38 | 34 |
Delivery | Caesarean | Caesarean | Caesarean | Caesarean | Induced | Caesarean | Caesarean |
Newborn | |||||||
Birth weight, g | 1730 | 2900 | 3930 | 3330 | 3300 | 3280 | 2500 |
Length, cm | 41 | -- | 50 | 54.5 | 50 | 49 | 43 |
Congenital malformations | No | No | No | No | No | No | No |
APGAR score at 1 and 5 min | 7/10, 8/10 | 10/10, 10/10 | 9/10, 10/10 | 8/10, 9/10 | 9/10, 10/10 | 8/10, 9/10 | 6/10, 8/10 |
Neonatal hypoglycemia | No | No | No | Yes, mild | Yes, moderate | No | No |
NICU admission | Yes (bilirubin increase and episodes of apnea) | No | No | Yes (respiratory distress) | Yes (bilirubin increase) | No | Yes (respiratory distress) |