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Managing Diabetes in Pregnancy Before, During, and After COVID-19.
- Source :
-
Diabetes technology & therapeutics [Diabetes Technol Ther] 2020 Jun; Vol. 22 (6), pp. 454-461. Date of Electronic Publication: 2020 May 18. - Publication Year :
- 2020
-
Abstract
- Background: Pregnant women with diabetes are identified as being more vulnerable to the severe effects of COVID-19 and advised to stringently follow social distancing measures. Here, we review the management of diabetes in pregnancy before and during the lockdown. Methods: Majority of antenatal diabetes and obstetric visits are provided remotely, with pregnant women attending hospital clinics only for essential ultrasound scans and labor and delivery. Online resources for supporting women planning pregnancy and for self-management of pregnant women with type 1 diabetes (T1D) using intermittent or continuous glucose monitoring are provided. Retinal screening procedures, intrapartum care, and the varying impact of lockdown on maternal glycemic control are considered. Alternative screening procedures for diagnosing hyperglycemia during pregnancy and gestational diabetes mellitus (GDM) are discussed. Case histories describe the remote initiation of insulin pump therapy and automated insulin delivery in T1D pregnancy. Results: Initial feedback suggests that video consultations are well received and that the patient experiences for women requiring face-to-face visits are greatly improved. As the pandemic eases, formal evaluation of remote models of diabetes education and technology implementation, including women's views, will be important. Conclusions: Research and audit activities will resume and we will find new ways for supporting pregnant women with diabetes to choose their preferred glucose monitoring and insulin delivery.
- Subjects :
- Adult
Betacoronavirus
Blood Glucose Self-Monitoring
COVID-19
Coronavirus Infections complications
Diabetes Mellitus, Type 1 blood
Diabetes Mellitus, Type 1 drug therapy
Diabetes Mellitus, Type 1 virology
Diabetes Mellitus, Type 2 blood
Diabetes Mellitus, Type 2 drug therapy
Diabetes Mellitus, Type 2 virology
Diabetes, Gestational blood
Diabetes, Gestational virology
Female
Humans
Hypoglycemic Agents administration & dosage
Insulin administration & dosage
Insulin Infusion Systems
Pneumonia, Viral complications
Pregnancy
Pregnancy Complications, Infectious virology
Pregnancy in Diabetics blood
Pregnancy in Diabetics virology
SARS-CoV-2
Self-Management methods
Coronavirus Infections prevention & control
Diabetes, Gestational drug therapy
Pandemics prevention & control
Pneumonia, Viral prevention & control
Pregnancy Complications, Infectious prevention & control
Pregnancy in Diabetics drug therapy
Prenatal Care methods
Telemedicine methods
Subjects
Details
- Language :
- English
- ISSN :
- 1557-8593
- Volume :
- 22
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Diabetes technology & therapeutics
- Publication Type :
- Academic Journal
- Accession number :
- 32396397
- Full Text :
- https://doi.org/10.1089/dia.2020.0223