Emerging Technologies for the Management of Type 1 Diabetes in Pregnancy

Curr Diab Rep. 2018 Jan 30;18(1):4. doi: 10.1007/s11892-018-0973-9.


Purpose of review: The purpose of the study is to discuss emerging technologies available in the management of type 1 diabetes in pregnancy.

Recent findings: The latest evidence suggests that continuous glucose monitoring (CGM) should be offered to all women on intensive insulin therapy in early pregnancy. Studies have additionally demonstrated the ability of CGM to help gain insight into specific glucose profiles as they relate to glycaemic targets and pregnancy outcomes. Despite new studies comparing insulin pump therapy to multiple daily injections, its effectiveness in improving glucose and pregnancy outcomes remains unclear. Sensor-integrated insulin delivery (also called artificial pancreas or closed-loop insulin delivery) in pregnancy has been demonstrated to improve time in target and performs well despite the changing insulin demands of pregnancy. Emerging technologies show promise in the management of type 1 diabetes in pregnancy; however, research must continue to keep up as technology advances. Further research is needed to clarify the role technology can play in optimising glucose control before and during pregnancy as well as to understand which women are candidates for sensor-integrated insulin delivery.

Keywords: Artificial pancreas; Closed loop; Continuous glucose monitoring; Diabetes in pregnancy; Insulin pump; Technology.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Biomedical Technology
  • Blood Glucose / analysis
  • Blood Glucose Self-Monitoring / methods*
  • Diabetes Mellitus, Type 1 / diagnosis
  • Diabetes Mellitus, Type 1 / drug therapy*
  • Female
  • Humans
  • Hypoglycemic Agents / administration & dosage
  • Hypoglycemic Agents / therapeutic use
  • Infusion Pumps, Implantable
  • Insulin / administration & dosage
  • Insulin Infusion Systems
  • Pancreas, Artificial
  • Pregnancy
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / drug therapy*
  • Pregnancy Outcome


  • Blood Glucose
  • Hypoglycemic Agents
  • Insulin