Levels of the ‘Glycemic Control‘ in the blood differ significantly among the pregnant women with ‘Type1 diabetes‘ and the pregnant women who are suffering from ‘Type 2 diabetes‘.
Researchers revealed these results on the completion of the fist study that involved a continuous monitoring throughout the pregnancy to examine changes in glucose levels.
Apparently, there was no observable difference between the two groups of diabetes types. Critical stage of diabetes however brings up these differences. The women suffering from diabetes had normal glucose levels for an average of only half of the time in a day of 12 hours during the critical stage of early pregnancy. This is an alarming situation according to the researchers.
Dr. Helen R. Murphy at Ipswich Hospital NHS Trust in the UK and colleagues collected and analyzed data from continuous glucose monitoring for 7 days during each trimester of pregnancy in 40 women with ‘Type 1 diabetes’ and 17 women with ‘Type 2 diabetes’ during the study period.
The researchers discovered that as the pregnancies advanced, more time was spent with blood glucose in a normal range of 70 mg/dL to140 mg/dL. Women with ‘Type 2 diabetes’ spent nearly one third more time within a normal glucose range in comparison to the women with ‘Type 1 diabetes’.
Researchers also found that the elevated glucose levels with greater than 140 mg/dL or “hyperglycemia,” decreased as the pregnancies advanced. In this case the women with ‘Type 2 diabetes’ were spending only two thirds as much time with elevated glucose levels in comparison to the women with ‘Type 1 diabetes’. ‘Type 2 diabetes’ was also associated with shorter durations of extreme ‘hyperglycemia’ with greater than 200 mg/dL.
The proportion of time spent with low blood sugar or ‘hypoglycemia‘ with less than 70 mg/dL, did not change significantly over the course of pregnancy but women with ‘Type 1 diabetes’ spent more time hypoglycemic than did those with ‘Type 2 diabetes’.
“These research findings demonstrate that it is really difficult to maintain the treatment targets for glucose levels, particularly among the women with Type 1 diabetes“, said Dr. Helen R. Murphy.
Conclusions of this study are pertinent for physicians and other healthcare professionals who are trying to maximize glycemic control and for researchers trying to improve treatments methods in pregnant diabetic women.
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