Initiate continuous Glu monitoring

Although there is a paucity of literature on continuous Glu monitoring use during pregnancy, there is evidence that in GDM cases, it will detect clinically meaningful hypoglycemia that may go unrecognized by self-monitoring. There is also some evidence of improved glycated hemoglobin (HbA_1c) in cases of overt DM using continuous Glu monitoring during pregnancy. However the cost-effectiveness of this method is not yet established.

R 3.3 Suggest continuous Glu monitoring be used during pregnancy in women diagnosed with overt DM or GDM, when self-monitored blood Glu levels (or in the case of overt DM, HbA_1c values) are not sufficient to assess glycemic control. (2++)