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Use of advanced technology for the treatment of type 1 diabetes in pregnancy
Ina Geerts1, Katrien Benhalima2
1Clinical and Experimental Endocrinology, KU Leuven, Belgium.
Abstract:
Automated insulin delivery (AID) systems have led to a paradigm shift for the management of type 1 diabetes outside pregnancy. As more women use AID at preconception, it is important to have data on the efficacy and safety of AID systems in pregnancy. A large randomized controlled trial (RCT) with the CamAPS® FX showed a 10 % increase in time in range compared to standard insulin therapy in pregnant women with type 1 diabetes. The CamAPS® FX is currently the only AID approved for use in pregnancy. An RCT with the MiniMed™ 780 G demonstrated additional benefits compared to standard insulin therapy. Recent data suggest that AID can be safely continued during labor and postpartum. It is yet unclear whether AID use can improve maternal and neonatal outcomes. We review the current evidence on the use of AID in pregnancy and postpartum.
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