Abstract
Pregnancy complicated by gestational diabetes mellitus (GDM) is accompanied by a higher risk of serious obstetric and perinatal complications. The results of the HAPO (Hyperglycemia and Adverse Pregnancy Outcomes) study showed that the previously used criteria for the diagnosis of GDM require revision. Universal standards for the diagnosis and treatment of carbohydrate metabolism disorders during pregnancy are required. GDM is a risk factor for the development of obesity, type 2 diabetes and cardiovascular diseases in the mother and offspring in the future. GDM treatment is based on modification of diet and lifestyle, self-monitoring of glycemia, as well as timely initiated insulin therapy. However, the adherence to glucose self-control among pregnant women with GDM remains quite low, as well as the correctness of filling out handwritten diaries. The wider use of glucose meters with the setting of an individual target range of glycemia, the function of wireless transmission of blood glucose data to an endocrinologist with the formation of reports, as well as the ability to enter information about nutrition, physical activity, insulin dose into a mobile application allows to increase satisfaction with treatment and reduce poor obstetric and perinatal outcomes in GDM.
Key words: pregnancy, gestational diabetes mellitus, macrosomia, preeclampsia, insulin, self-control of glycemia.
For citation:Burumkulova F.F. The role of self-monitoring of blood glucose in reducing obstetric and perinatal risks associated with gestational diabetes mellitus. Clinical review for general practice. 2023; 4 (3): 22–27. DOI: 10.47407/kr2023.4.3.00218
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