Article ; Online: Studies are needed to support optimal insulin dose titration in gestational diabetes mellitus: A systematic review.
2023 Volume 17, Issue 4, Page(s) 102746
Abstract: Background and aims: We aimed to summarise the existing literature on insulin dose titration in gestation diabetes.: Methods: Databases: Medline, EMBASE, CENTRAL and CINAHL were systematically searched for trials and observational studies comparing ... ...
Abstract | Background and aims: We aimed to summarise the existing literature on insulin dose titration in gestation diabetes. Methods: Databases: Medline, EMBASE, CENTRAL and CINAHL were systematically searched for trials and observational studies comparing insulin titration strategies in gestational diabetes. Results: No trials comparing insulin dose titration strategies were identified. Only one small (n = 111) observational study was included. In this study, patient-led daily basal insulin titration was associated with higher insulin doses, tighter glycaemic control, and lower birthweight, vs weekly clinician-led titration. Conclusions: There is a paucity of evidence to support optimal insulin titration in gestational diabetes. Randomized trials are required. |
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MeSH term(s) | Pregnancy ; Female ; Humans ; Insulin/therapeutic use ; Diabetes, Gestational/drug therapy ; Hypoglycemic Agents/therapeutic use ; Pregnancy in Diabetics ; Birth Weight ; Diabetes Mellitus, Type 2 ; Observational Studies as Topic |
Chemical Substances | Insulin ; Hypoglycemic Agents |
Language | English |
Publishing date | 2023-03-21 |
Publishing country | Netherlands |
Document type | Systematic Review ; Journal Article |
ZDB-ID | 2273766-2 |
ISSN | 1878-0334 ; 1871-4021 |
ISSN (online) | 1878-0334 |
ISSN | 1871-4021 |
DOI | 10.1016/j.dsx.2023.102746 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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