Table 1.
Continuous Glucose Monitoring AND Glycated Hemoglobin Target Attainment During Type 1 Diabetes Pregnancy
| Type 1 diabetes pregnancy glucose targets |
Percentage of women fulfilling glucose targets |
P-value for change over time for both arms for RT-CGM, for control arm | ||
|---|---|---|---|---|
| First trimester (N = 221) |
24 Weeks (N = 197) |
34 Weeks (N = 172) |
||
| Both arms |
Both arms |
Both arms |
||
| RT-CGM versus control | RT-CGM versus control | RT-CGM versus control | ||
| CGM | ||||
| TIR 3.5–7.8 mmol/L (63–140 mg/dL) >70% | 7.7 | 10.2 | 35.5 | <0.001 |
| 6.2 versus 9.3ns | 10.5 versus 9.8ns | 44.0 versus 27.3a | <0.001, <0.001 | |
| TAR >7.8 mmol/L (>140 mg/dL) <25% | 14.5 | 14.2 | 37.2 | <0.001 |
| 15.9 versus 13ns | 16.8 versus 11.8ns | 46.4 versus 28.4a | <0.001, <0.01 | |
| TBR <3.5 mmol/L (<63 mg/dL) <4% | 30.3 | 52.8 | 52.9 | <0.001 |
| 26.5 versus 34.3ns | 53.7 versus 52ns | 63.1 versus 43.2b | <0.001, <0.05 | |
| Laboratory | ||||
| ADA trimester-specific HbA1c target | 23.5 | 27.9 | 23.8 | ns |
| 23.0 versus 24.1ns | 30.5 versus 25.5ns | 31.0 versus 17.0a | ns, ns | |
| NICE HbA1c target <6.5% (48 mmol/mol) | 23.5 | 59.4 | 54.1 | <0.001 |
| 23.0 versus 24.1ns | 65.3 versus 53.9ns | 63.1 versus 45.5a | <0.001, <0.001 | |
| HbA1c <6.0% (42 mmol/mol) | 3.6 | 27.9 | 23.8 | <0.001 |
| 2.7 versus 4.6ns | 30.5 versus 25.5ns | 31.0 versus 17.0a | <0.001, <0.001 | |
ADA indicates HbA1c <6.5% (48 mmol/mol) as prepregnancy target and <6.0% (42 mmol/mol) in the second and third trimesters.
P value RT-CGM versus control: a<0.05; b<0.01.
ADA, American Diabetes Association; CGM, continuous glucose monitoring; HbA1c, glycated hemoglobin; NICE, National Institute for Health and Care Excellence; NS, nonsignificant; RT-CGM, real-time CGM; TAR, Time-above-range; TBR, Time-below-range; TIR, Time-in-range.