{
    "abstract": "\u2003We aimed to evaluate the relationship between intrapartum continuous glucose monitoring (CGM) and neonatal hypoglycemia (NH) in individuals with diabetes.\n\u2003a multicenter prospective study (November 2021-December 2022) of laboring individuals with pregestational or gestational diabetes at \u226534 weeks. Cohorts had a blinded CGM placed from admission through delivery and were monitored with fingerstick (FS) according to usual care. The primary outcome was NH. Secondary neonatal outcomes included neonatal intensive care unit (NICU) length of stay, need for intravenous (IV) glucose therapy, hyperbilirubinemia, respiratory distress, or respiratory distress syndrome. Time in the target range (TIR; range 70-110\u2009mg/dL) and time above the target range (TAR; >110\u2009mg/dL) were expressed as a percentage of all CGM readings, and mean glucose was obtained. Youden index was used to choose the cut point for TAR and prediction of NH.\n\u2003Of 9,479 deliveries during the study period, 202 (2.1%) met the inclusion criteria, and 112 (56%) participants were enrolled (\n\u2003In this prospective study of laboring individuals with diabetes, intrapartum CGM TAR was associated with a higher rate of NH.\n\u00b7 CGM use in labor is feasible with a complete glucose profile in the various stages of labor.. \u00b7 Best cut-off for predicting NH was a time above range (\u2265110\u2009mg/dl) of >61%.. \u00b7 CGM and FS were poor predictors of NH..",
    "authors": [
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.\nDepartment of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.",
            "firstname": "Michal",
            "initials": "M",
            "lastname": "Fishel Bartal"
        },
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.",
            "firstname": "Sarah A",
            "initials": "SA",
            "lastname": "Nazeer"
        },
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.",
            "firstname": "Joycelyn",
            "initials": "J",
            "lastname": "Ashby Cornthwaite"
        },
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.",
            "firstname": "Ghamar",
            "initials": "G",
            "lastname": "Bitar"
        },
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.",
            "firstname": "Sean C",
            "initials": "SC",
            "lastname": "Blackwell"
        },
        {
            "affiliation": "Center for Clinical Research and Evidence-Based Medicine, The University of Texas Health Science Center at Houston, Houston, Texas.",
            "firstname": "Claudia",
            "initials": "C",
            "lastname": "Pedroza"
        },
        {
            "affiliation": "Delaware Center of Maternal-Fetal Medicine at Christiana Care, Department of Obstetrics, Gynecology, and Reproductive Sciences, Newark, Delaware.",
            "firstname": "Suneet P",
            "initials": "SP",
            "lastname": "Chauhan"
        },
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas.",
            "firstname": "Antonio",
            "initials": "A",
            "lastname": "Saad"
        },
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas.",
            "firstname": "George",
            "initials": "G",
            "lastname": "Saade"
        },
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.",
            "firstname": "Baha M",
            "initials": "BM",
            "lastname": "Sibai"
        }
    ],
    "conclusions": "\u2003In this prospective study of laboring individuals with diabetes, intrapartum CGM TAR was associated with a higher rate of NH.",
    "copyrights": "Thieme. All rights reserved.",
    "doi": "10.1055/a-2494-2157",
    "journal": "American journal of perinatology",
    "keywords": [],
    "methods": null,
    "publication_date": "2024-12-03",
    "pubmed_id": "39622499",
    "results": "\u2003Of 9,479 deliveries during the study period, 202 (2.1%) met the inclusion criteria, and 112 (56%) participants were enrolled (",
    "title": "Relationship between Intrapartum Continuous Glucose Monitoring Values and Neonatal Hypoglycemia in Individuals with Diabetes.",
    "xml": "<Element 'PubmedArticle' at 0x7885062b20c0>"
}