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Question of the Week | Gestational Diabetes: Diabetes Care in the Fourth Trimester

Question of the Week Diabetes Education Services

MT is a 29-year-old with Type 1 diabetes who is currently 14 weeks pregnant. She uses a continuous glucose monitor (CGM) with concurrent fingersticks and uploads her glucose data weekly. Her CGM settings was already set to the recommended time in range and the latest CGM report shows the following: time in range (TIR): 67%, time below range: 6%, time above range: 27%.

Based on current ADA Standard of Care, which of the following statements is most accurate regarding her CGM values?

  1. The recommended time in range is >70% within 70–180 mg/dL. MT’s TIR is slightly below target and her time below range is above the recommended targets, indicating adjustments are needed to reduce hypoglycemia.
  2. The recommended time in range is >70% within 63–140 mg/dL; MT’s TIR is slightly below target and her time below and above range is above the recommended goal.
  3. The recommended time in range is >80% within 63–140 mg/dL; MT’s TIR is below target, with fluctuations of hypo and hyperglycemia.
  4. The recommended time in range is >80% within 70–180 mg/dL to prevent fetal complications; MT’s TIR is significantly below the recommended Standard of Care target.

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