Gestational diabetes & diabetes in pregnancy

The Effectiveness of Superbolus on Postprandial Blood Glucose Management of Pregnant Women With Type 1 Diabetes

J Diabetes Sci TechnolPublished Retrospective observational study

Authors' conclusion

Superbolus was effective in avoiding after-meal glucose peaks, increased postprandial glucose time in target, without late hypoglycemia occurrence. It represents a valid option for the treatment of pregnant women with type 1 diabetes using insulin pump.

Study context

Population
Consecutive pregnant women with T1D on insulin pump therapy, advised to use superbolus for breakfast; mean age 34.3 ± 5.5 years, pregestational BMI 23.7 ± 4.7 kg/m², HbA1c in pregnancy 6.1 ± 0.6%CGM data
Participants
21 women
Exposure
Breakfast glucose control after vs before superbolus use
Outcome
Glucose 1 hour after breakfast
Follow-up
1 hour after breakfast
Methodological detailsbefore-after comparison
  • Before-after comparison

Main finding

As reported in the abstract

P = 0.01

Observational data: associations, not effects.

Further findings

OutcomeAfter superbolusBefore superbolusP value
Number of late hypoglycemic episodesReduced with superbolus1 [0-2]3 [1-5]P < 0.0001
TIR for the after-breakfast period · improved with superbolus
P = 0.001

TIR for the after-breakfast period

Superbolus improved the TIR for the after-breakfast period

Original publication

The Effectiveness of Superbolus on Postprandial Blood Glucose Management of Pregnant Women With Type 1 Diabetes. J Diabetes Sci Technol. Published 5 July 2022. doi:10.1177/19322968221109262

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