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Questions and Answers
What is a target glucose concentration time in range (TIR) for pregnant women with type 1 diabetes?
What is a target glucose concentration time in range (TIR) for pregnant women with type 1 diabetes?
- More than 50%
- More than 70% (correct)
- Above 80%
- Exactly 60%
Which of the following is NOT mentioned as a method to reduce risks in pregnancies complicated by type 1 diabetes?
Which of the following is NOT mentioned as a method to reduce risks in pregnancies complicated by type 1 diabetes?
- Antihypertensive treatment
- Use of hybrid closed-loop systems
- Adequate lifestyle management
- Swaddling for neonatal care (correct)
What factor is critical for improving pregnancy outcomes that is often only achieved late in pregnancy for women with type 1 diabetes?
What factor is critical for improving pregnancy outcomes that is often only achieved late in pregnancy for women with type 1 diabetes?
- Optimal insulin delivery
- Effective blood pressure control
- Target glucose concentrations (correct)
- Dietary modifications
What emerging technology is discussed as a promising treatment option for managing diabetes in pregnant women?
What emerging technology is discussed as a promising treatment option for managing diabetes in pregnant women?
What role does psychosocial support play in managing pregnancies complicated by type 1 diabetes?
What role does psychosocial support play in managing pregnancies complicated by type 1 diabetes?
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Study Notes
Pregnancies Complicated by Type 1 Diabetes: Management and Outcomes
- Careful management of blood glucose levels, weight gain, and lifestyle factors can reduce the risk of complications like preeclampsia, preterm delivery, and other adverse pregnancy and neonatal outcomes
- Achieving a target glucose range of 3.5-7.8 mmol/L for more than 70% of the time during pregnancy (TIRp) is beneficial but commonly achieved only in the final weeks, potentially too late for ideal outcomes
- Hybrid closed-loop (HCL) insulin delivery systems are showing promise as a treatment option in pregnancy, potentially leading to better blood sugar control and improved outcomes
- Comprehensive pre-pregnancy care, addressing diabetes-related complications, individualized lifestyle recommendations, and appropriate gestational weight gain are essential
- Antihypertensive treatment and low-dose aspirin prophylaxis are important considerations in managing pregnancies with type 1 diabetes
- Effective clinical and psychosocial support is vital for pregnant women with type 1 diabetes
- Ongoing research is investigating the use of HCL systems in pregnant women with type 1 diabetes to understand their efficacy and safety in this specific population
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