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. 2021 Sep 30;23(10):710–714. doi: 10.1089/dia.2021.0073

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.