Research article summary (published 29 Apr 2003):

Insulin lispro therapy in pregnancies complicated by type 1 diabetes: glycemic control and maternal and fetal outcomes.

Full Abstract

OBJECTIVE: To evaluate glycemic control and maternal and fetal outcomes of patients with type 1 diabetes treated with insulin lispro before and during pregnancy. METHODS: We undertook a retrospective review of medical records of 62 women with type 1 diabetes who were treated with insulin lispro before and during pregnancy in an outpatient center specializing in the care of patients with diabetes. Outcome measures included maternal glycemic control, hypoglycemic episodes, microvascular complications, duration of gestation, fetal birth weight, and major congenital malformations. RESULTS: The mean hemoglobin A1c level (+/- standard error) was reduced from 7.2 +/- 0.2% at conception to 5.8 +/- 0.1% at the time of delivery. Of the 62 patients, 14 experienced at least one episode of severe hypoglycemia. No significant change was found in mean eye grade score for retinopathy or in albumin excretion rate during pregnancy. The mean duration of gestation was 37 weeks. The mean infant birth weight was 3.4 kg, with 24% of the pregnancies resulting in macrosomia. Major congenital malformations occurred in 2 of the 62 infants (3.2%). CONCLUSION: In our experience, insulin lispro therapy during pregnancy in patients with type 1 diabetes resulted in normalization of glycemic control and had no detectable adverse effects on maternal or fetal outcomes. A prospective, randomized study with adequate sample size needs to be performed in order to confirm these conclusions.

Author information

Author/s: Garg, Satish K (SK); Frias, Juan P (JP); Anil, Sunitha (S); Gottlieb, Peter A (PA); MacKenzie, Todd (T); Jackson, William E (WE);

Affiliation: Department of Medicine, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, 4200 East Ninth Avenue, Denver, CO 80262, USA.

Grants: RR 00069 (Agency:NCRR NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.

Journal: Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists (Endocr Pract), published in United States. (Language: eng)

Reference: -2003 May-Jun; vol 9 (issue 3) : pp 187-93

Dates: Created 2003/08/14; Completed 2004/05/10; Revised 2007/11/15;

PMID: 12917059, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult Albuminuria Birth Weight Blood Glucose - analysis Congenital Abnormalities - epidemiology Diabetes Mellitus, Type 1 - drug therapy; physiopathology Diabetic Retinopathy - diagnosis; epidemiology Female Fetal Macrosomia - epidemiology Gestational Age

Gestational Age Hemoglobin A, Glycosylated - analysis Humans Hypoglycemia - epidemiology Hypoglycemic Agents - therapeutic use Insulin - administration & dosage; adverse effects; analogs & derivatives; therapeutic use Pregnancy Pregnancy Outcome Pregnancy in Diabetics - drug therapy Retrospective Studies

Associated Chemicals: Blood Glucose (0) ; Hemoglobin A, Glycosylated (0) ; Hypoglycemic Agents (0) ; Insulin (11061-68-0) ; insulin LISPRO (133107-64-9)

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