Assessment of the effect of pregnancy planning in women with type 1 diabetes treated by insulin pump
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ORIGINAL ARTICLE
Assessment of the effect of pregnancy planning in women with type 1 diabetes treated by insulin pump Lucie Mourou1,2 · Valeria Vallone3 · Eleonora Vania1,2 · Silvia Galasso3 · Cécile Brunet1,2,4 · Florent Fuchs4 · Federico Boscari3 · Francesco Cavallin5 · Daniela Bruttomesso3 · Eric Renard1,2 Received: 17 August 2020 / Accepted: 9 October 2020 © Springer-Verlag Italia S.r.l., part of Springer Nature 2020
Abstract Background Pregnant women with type 1 diabetes (T1D) have high risk of complications despite improved care based on technology advancements. Objective To assess the effects of pregnancy planning on fetal and maternal outcomes in T1D women treated with continuous subcutaneous insulin infusion (CSII). Study design We retrospectively assessed maternal and neonatal outcomes in T1D women using CSII who had planned or unplanned pregnancies between 2002 and 2018. The study was done in two European countries with similar sustained programs for pregnancy planning over the study period. Results Data from 107 pregnancies and newborn babies were collected. Seventy-nine pregnancies (73.8%) had been planned. HbA1c was lower in planned versus unplanned pregnancy before and during all three trimesters of pregnancy (p
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