Acute complications and pregnancy outcomes with continuous subcutaneous insulin infusion therapy in pregnant women with type 1 diabetes mellitus Tip 1 diabetes mellitusu olan gebelerde sürekli subkütan insülin infüzyon tedavisinin akut komplikasyonlar ve gebelik sonlanımı üzerine etkisi


KALAN SARI I., EROĞLU ALTINOVA A., özkan ç., AKTÜRK M. Y., KONCA DEĞERTEKİN C., cerit e. t., ...More

Turkish Journal of Endocrinology and Metabolism, vol.24, no.2, pp.109-114, 2020 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 24 Issue: 2
  • Publication Date: 2020
  • Doi Number: 10.25179/tjem.2020-74444
  • Journal Name: Turkish Journal of Endocrinology and Metabolism
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.109-114
  • Keywords: Continuous subcutaneous insulin infusion, CSII, Glycemic control, Pregnancy, Type 1 diabetes mellitus
  • Gazi University Affiliated: Yes

Abstract

© 2020, Turkiye Klinikleri. All rights reserved.Objective: Pregnant women with type 1 diabetes mellitus (T1DM) have increased risk of fetal, maternal, and perinatal complications. In this report, we aimed to evaluate the effects of continuous subcutaneous insulin infusion (CSII) therapy on pregnancy outcomes, glycemic control, and acute complications in pregnant women with T1DM. Material and Methods: We retrospectively analyzed the data of 15 women with T1DM who were on CSII therapy during their pregnancy, and who were fol-lowed up at our clinic between 2008 and 2014. Acute complica-tions, fetal/maternal, and perinatal complications, and glycemic control were analyzed. Results: The mean age of the patients was 28.2±3.6 years, and the mean duration of diabetes was 8±5.4 years. We did not observe severe hypoglycemic episodes and diabetic ketoacidosis during their pregnancy. The mean HbA1c levels at 4-8 weeks of pregnancy decreased from 7.4±1.3% to 6.3±0.7% at 34-38 weeks of pregnancy. The mean duration of pregnancy and neonatal birth weight were 37.1±1.2 weeks and 3.537±794 g, respectively. There were no stillbirths, perinatal infant deaths, or congenital malformations noted. There were two preterm births due to preeclampsia, one of whom had a low birth weight (1.800 g). We recorded one mac-rosomic baby (4.730 g). Conclusion: We observed that glycemic control improved with CSII therapy during pregnancy. We did not detect severe hypoglycemia or diabetic ketoacidosis in our research. In pregnant women with T1DM who had inade-quate glycemic control with multiple daily insulin injection the-rapy, CSII might be a safe and appropriate treatment regimen.