Assessment of the effect of pregnancy planning in women with type 1 diabetes treated by insulin pump

Background Pregnant women with type 1 diabetes (T1D) have high risk of complications despite improved care based on technology advancements. Objective To assess the effects of pregnancy planning on fetal and maternal outcomes in T1D women treated with continuous subcutaneous insulin infusion (CSII)....

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Bibliographic Details
Published in:Acta diabetologica 2021-03, Vol.58 (3), p.355-362
Main Authors: Mourou, Lucie, Vallone, Valeria, Vania, Eleonora, Galasso, Silvia, Brunet, Cécile, Fuchs, Florent, Boscari, Federico, Cavallin, Francesco, Bruttomesso, Daniela, Renard, Eric
Format: Article
Language:English
Subjects:
Adult
Diabetes
Diabetes mellitus (insulin dependent)
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - drug therapy
Diabetes Mellitus, Type 1 - epidemiology
Family Planning Services - methods
Family Planning Services - statistics & numerical data
Female
Fetuses
France - epidemiology
Glycemic Control - statistics & numerical data
Gynecology and obstetrics
Human health and pathology
Humans
Infant, Newborn
Infant, Newborn, Diseases - epidemiology
Insulin
Insulin - administration & dosage
Insulin Infusion Systems
Internal Medicine
Italy - epidemiology
Life Sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Neonates
Original Article
Pre-eclampsia
Preconception Care - methods
Preconception Care - standards
Preconception Care - statistics & numerical data
Pregnancy
Pregnancy and diabetes
Pregnancy in Diabetics - blood
Pregnancy in Diabetics - diagnosis
Pregnancy in Diabetics - epidemiology
Pregnancy in Diabetics - therapy
Pregnancy Outcome - epidemiology
Pregnancy, Unplanned
Prognosis
Retrospective Studies
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Summary:Background Pregnant women with type 1 diabetes (T1D) have high risk of complications despite improved care based on technology advancements. Objective To assess the effects of pregnancy planning on fetal and maternal outcomes in T1D women treated with continuous subcutaneous insulin infusion (CSII). Study design We retrospectively assessed maternal and neonatal outcomes in T1D women using CSII who had planned or unplanned pregnancies between 2002 and 2018. The study was done in two European countries with similar sustained programs for pregnancy planning over the study period. Results Data from 107 pregnancies and newborn babies were collected. Seventy-nine pregnancies (73.8%) had been planned. HbA1c was lower in planned versus unplanned pregnancy before and during all three trimesters of pregnancy ( p  
ISSN:0940-5429
1432-5233
1432-5233
DOI:10.1007/s00592-020-01620-7