Current Diabetes Reports

, Volume 13, Issue 1, pp 34–42

Role of Continuous Glucose Monitoring in the Management of Diabetic Pregnancy

  • Niranjala M. Hewapathirana
  • Esther O’Sullivan
  • Helen R. Murphy
Diabetes and Pregnancy (CJ Homko, Section Editor)

DOI: 10.1007/s11892-012-0337-9

Cite this article as:
Hewapathirana, N.M., O’Sullivan, E. & Murphy, H.R. Curr Diab Rep (2013) 13: 34. doi:10.1007/s11892-012-0337-9


Self-monitoring of blood glucose (SMBG) with intermittent capillary glucose fingerstick tests is currently the universally accepted method of glucose monitoring in pregnancy. During pregnancy SMBG tests are recommended before and after meals and before bed (typically 7 values/d). Continuous glucose monitoring systems consist of a disposable subcutaneous glucose-sensing device, electrochemically measuring glucose levels in subcutaneous tissues every 10 seconds, providing an average interstitial glucose value every 5 minutes (typically 288 values/d). From a research perspective this provides unprecedented insights into the pathophysiology of glucose metabolism, while from a clinical perspective it can facilitate enhanced patient-professional decision making, patient motivation, and improved glycaemic control. CGM has thus been described as a “roadmap for effective self-management” and as a “stepping stone in the journey towards a cure.” This review will consider the lessons learned and evidence supporting current and potential future use of CGM in the management of diabetes in pregnancy.


Type 1 diabetesType 2 diabetesPregnancyContinuous glucose monitoring (CGM)Continuous glucose monitoring systems (CGMS)Self-monitoring of blood glucose (SMBG)Pregestational diabetesGestational diabetes

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Niranjala M. Hewapathirana
    • 1
  • Esther O’Sullivan
    • 2
  • Helen R. Murphy
    • 2
    • 3
  1. 1.MRCP, Queens Medical CentreNottingham University Hospitals NHS TrustNottinghamUK
  2. 2.University of Cambridge Metabolic Research Laboratories and NIHR Cambridge Biomedical Research CentreAddenbrooke’s HospitalCambridgeUK
  3. 3.Level 4 Metabolic Research LaboratoriesInstitute of Metabolic ScienceCambridgeUK