Home versus hospital glucose monitoring for gestational diabetes during pregnancy

Evidence from 11 RCTs assessing different methods or settings for glucose monitoring for GDM suggests no clear differences for the primary outcomes or other secondary outcomes assessed in this review.However, current evidence is limited by the small number of RCTs for the comparisons assessed, small sample sizes, and the variable methodological quality of the RCTs. More evidence is needed to assess the effects of different methods and settings for glucose monitoring for GDM on outcomes for mothers and their children, including use and costs of health care. Future RCTs may consider collecting and reporting on the standard outcomes suggested in this review.

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Treatments for women with gestational diabetes mellitus: an overview of Cochrane systematic reviews

Martis

Crowther

Shepherd

et al. 2018

Cochrane Database of Systematic Reviews

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Currently there is insufficient high-quality evidence about the effects on health outcomes of relevance for women with GDM and their babies for many of the comparisons in this overview comparing treatment interventions for women with GDM. Lifestyle changes (including as a minimum healthy eating, physical activity and self-monitoring of blood sugar levels) was the only intervention that showed possible health improvements for women and their babies. Lifestyle interventions may result in fewer babies being large. Conversely, in terms of harms, lifestyle interventions may also increase the number of inductions. Taking insulin was also associated with an increase in hypertensive disorders, when compared to oral therapy. There was very limited information on long-term health and health services costs. Further high-quality research is needed.

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Home versus hospital glucose monitoring for gestational diabetes during pregnancy

Cited by 3 publications

References 32 publications

Techniques of monitoring blood glucose during pregnancy for women with pre-existing diabetes

Techniques of monitoring blood glucose during pregnancy for women with pre-existing diabetes

Different methods and settings for glucose monitoring for gestational diabetes during pregnancy

Treatments for women with gestational diabetes mellitus: an overview of Cochrane systematic reviews

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