self-monitoring of blood glucose during pregnancy indications and limitations怀孕期间的血糖自我监测指标和局限性.pdfVIP

Negrato and Zajdenverg Diabetology Metabolic Syndrome 2012, 4:54 DIABETOLOGY /content/4/1/54 METABOLIC SYNDROME REVIEW Open Access Self-monitoring of blood glucose during pregnancy: indications and limitations Carlos Antonio Negrato1 and Lenita Zajdenverg2* Abstract Self-monitoring of blood glucose (SMBG) is an important tool to treat diabetes during pregnancy. However, proper implementation of SMBG in pregnant women requires understanding of its applications and limitations. This article reviews issues related to the implementation, efficacy, and accuracy of SMBG and discusses factors that can confound results of SMBG during pregnancy. Keywords: Self-monitoring of blood glucose, Diabetes mellitus, Pregnancy, Review Introduction practitioner [3]. Several characteristics, unique to each Perinatal morbidity and mortality rates, often affected by pregnant woman should be considered. For example, the maternal diabetes, have dramatically been reduced since type of treatment (diet and/or insulin), frequency and in- the discovery of insulin and its therapeutic implementation. tensity of physical activity, and the risk of hypoglycemia. In addition to increased availability of insulin, many impor- Additionally, SMBG makes patients feel more secure and tant technological advances have been developed over the comfortable using insulin since it allows early recognition preceding decades. These advances culminated in a larger of symptoms of hypoglycemia [4].