Cellular-Enabled Glucometers and Maternal Glucose Control: A Quality Improvement Initiative
Sarah A Wernimont1,2, Jessica S Sheng1, Diedre Fleener1
1Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Journal of Diabetes Science and Technology
|June 21, 2019
Summary
Cellular-enabled glucometers improved glucose control in pregnant women with diabetes. This technology offers real-time glucose monitoring, simplifying management and enhancing outcomes for better maternal health.
Area of Science:
- Reproductive Medicine
- Endocrinology
- Medical Technology
Background:
- Diabetes in pregnancy presents management challenges due to self-monitoring demands.
- Cellular-enabled glucometers offer real-time glucose data transmission, independent of internet or data plans.
- A quality improvement initiative introduced these devices for pregnancies with diabetes.
Purpose of the Study:
- To enhance maternal glucose control in insulin-requiring pregnant women within a telemedicine program.
- To evaluate the impact of cellular-enabled glucometers on glycemic control at delivery.
Main Methods:
- A quality improvement program offered cellular-enabled glucometers to participants.
- Women could opt for standard glucometers.
- The primary outcome measured was glycosylated hemoglobin A1c (HbA1c) at delivery.
Main Results:
- Women using cellular-enabled glucometers showed lower HbA1c at delivery (5.8% vs 6.3%, P=.03).
- Improvements were significant in women with initially poor glucose control (HbA1c >6.5%).
- No significant differences were observed in neonatal outcomes.
Conclusions:
- Cellular-enabled glucometers improve glucose control in pregnancies with insulin-requiring diabetes.
- Timely transmission of accurate glucose values aids management throughout gestation.
- This technology enhances perinatal diabetes care programs.
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