Cited by 59Gestational Diabetes Research and ManagementPregnancy and Medication ImpactDiabetes Management and Research

Insulin Use in Pregnancy: An Update

Open access
Blum, Alyson K.·2016·Diabetes Spectrum

Abstract

IN BRIEF Insulin remains the standard of care for the treatment of type 1 diabetes, type 2 diabetes, and uncontrolled gestational diabetes. Tight control maintained in the first trimester and throughout pregnancy plays a vital role in decreasing poor fetal outcomes, including structural anomalies, macrosomia, hypoglycemia of the newborn, adolescent and adult obesity, and diabetes. Understanding new insulin formulations and strengths is important in assessing risks, since no data on their use in human pregnancy exist.

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Crossref · 10.2337/diaspect.29.2.92

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5 of 5 references verified0 citation errors · 0 not checkable

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  • The safety of human insulin use in pregnancy was demonstrated.

    “The safety of human insulin use in pregnancy was demonstrated [103].”

    From Gestational Diabetes Mellitus—Recent Literature Review (2022) · cites this paper as [103]

    The “Insulin Safety in Pregnancy” section says regular insulin and NPH have sufficient human data to be considered low risk. But it also says inhaled human insulin has no human pregnancy data, so the paper does not demonstrate the safety of human insulin use without qualification. (LLM, conf=0.82)

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Research works printed but not linked: 9

  1. [4]Ray JG, Vermeulen MJ, Meier C, Wyatt PR Risk of congenital anomalies detected during antenatal serum screening in women with pregestational diabetes. Q J Med 2004; 97: 651– 653 15367735
  2. [5]Pearson DWM, Kernaghan D, Lee R, Penney GC; Scottish Diabetes in Pregnancy Study Group. Short communication: the relationship between pre-pregnancy care and early pregnancy loss, major congenital anomaly or perinatal death in type I diabetes mellitus. BJOG 2007; 114: 104– 107 17233865
  3. [6]Guerin A, Nisenbaum R, Ray JG Use o maternal GHb concentration to estimate the risk of congenital anomalies in the offspring of women with prepregnancy diabetes. Diabetes Care 2007; 30: 1920– 1925 17446531
  4. [10]American College of Obstetricians and Gynecologists Gestational diabetes mellitus (Practice Bulletin No. 137). Obstet Gynecol 2013; 122: 406– 416 23969827
  5. [11]American College of Obstetricians and Gynecologists Pregestational diabetes mellitus (Practice Bulletin No. 60). Obstet Gynecol 2005; 105: 675– 685 15738045
  6. [15]Zuckerwise LC, Werner EF, Pettker CM, McMahon-Brown EK, Thung SS, Han C Pregestational diabetes with extreme insulin resistance: use of U-500 insulin in pregnancy. Obstet Gynecol 2012; 120: 439– 442 22825259
  7. [23]Herrera KM, Rosenn BM, Foroutan J, Randomized controlled trial of insulin detemir versus NPH for the treatment of pregnant women with diabetes. Am J Obstet Gynecol 2015; 213: 426.e1– 426e7 26070699
  8. [28]Blonde L, Merilainen M, Karwe V, Raskin P Patient-directed titration for achieving glycaemic goals using a once-daily basal insulin analogue: an assessment of two different fasting plasma glucose targets. The TITRATE study. Diabetes Obes Metab 2009; 11: 623– 631 19515182
  9. [30]Briggs GG, Freeman RK, Yaffe SJ Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk. Philadelphia, Pa., Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011

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Authors
Blum, A. K.
Affiliations
Washington State University Spokane (US)
Corresponding author
Blum, Alyson K.
Venue
Diabetes Spectrum
Published
2016-05-01
Volume
29
Issue
2
Pages
92-97
ISSN
  • 1040-9165 (ISSN-L)
  • 1944-7353
OpenAlex
W2396123278
Cited by
59
References
5
Citations by year
2026: 6 · 2025: 4 · 2024: 9 · 2023: 7 · 2022: 5 · 2021: 5 · 2020: 5 · 2019: 8 · 2018: 8 · 2017: 1 · 2015: 1
FWCI
7.32
Type
journal article
Language
en
Open access
Locations
  • Diabetes Spectrum (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
insulin therapy in pregnancy, gestational diabetes mellitus, type 1 diabetes in pregnancy, type 2 diabetes in pregnancy, glycemic control, insulin formulations, insulin analogues, fetal outcomes, macrosomia, neonatal hypoglycemia, obesity

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