The medical team immediately initiated CGMS sensor monitoring to assess and manage her sugar levels and medication dosages. (Representational Image: Unsplash) 
MedBound Blog

Pregnant Woman with Uncontrolled Diabetes Underwent Real-Time CGMS Study

In a significant milestone for maternal health, Kauvery Hospital Alwarpet announced the successful integration of real-time CGMS (Continuous Glucose Monitoring Study) sensor monitoring.

Komal Rajendra Bhoi

In a significant milestone for maternal health, Kauvery Hospital Alwarpet announced the successful integration of real-time CGMS (Continuous Glucose Monitoring Study) sensor monitoring. This has yielded amazing results for a 26-year-old woman with a documented history of seizure disorder and learning disability.

Initially, diagnosed as pre-diabetic, her condition developed into CGMS during pregnancy. She turned to Kauvery Hospital in Alwarpet during the 26th week of her gestational period.

After evaluation, her fasting and postprandial (PP) sugar levels were alarmingly high, exceeding 200 mg/dl. In normal conditions, for a GDM mother with twin babies, fasting levels should be around 70–90 mg/dl, and postprandial levels should stay within 120 mg/dl.

The medical team immediately initiated CGMS sensor monitoring to assess and manage her sugar levels and medication dosages.

Through real-time continuous monitoring, the team was able to track her levels during crucial times throughout the day, including fasting, postprandial, pre-lunch, post-lunch, evening, pre-dinner, and post-dinner. The entire journey was attended to through the 24-hour diabetes helpline number.

Under the guidance of Dr. K. Baraneedharan, Senior Consultant Diabetologist, Physician Assistant Akshaya, Dr. R. Preethi, and the hospital's dedicated dietician, the team addressed the challenges posed by elevated sugar levels.

With the help of a combination of real-time continuous monitoring and adherence to a strict dietary regimen, her fasting sugar levels were significantly managed. Afterwards, her postprandial levels were also brought down to within the normal range over a period of 14 days.

This success has stabilized her diabetic levels and also had an impact on her delivery plan. Initially scheduled for a cesarean section at the 32nd week, the accurate sensor monitoring and sustained diabetic levels allowed for a safe extension to the 35th week. The woman successfully underwent the procedure and delivered healthy twin babies without the need for NICU admissions.

After evaluation, her fasting and postprandial (PP) sugar levels were alarmingly high, exceeding 200 mg/dl. (Representational Image: Unsplash)

As per the report of Economic times, Dr. Baraneedharan, who is a senior consultant at Diabetolgoist, highlighted that the use of CGMS real-time sensor monitoring has proven to be a game-changer in managing gestational diabetes, offering real-time adjustments to get the best outcomes for both mother and baby. The sensor monitoring is attached to the individual, and the sugar levels are tracked at different times throughout the day, and the levels appear on our clinical dashboard, thus helping them to be in touch with the mother for critical interventions.

Adding to the success narrative, Dr. Aravindan Selvaraj, co-founder and executive director of Kauvery Group of Hospitals, said that in the pursuit of clinical excellence at Kauvery, the journey is as crucial as the destination. The patient care journey at Kauvery is a collective effort, where the collaboration of various disciplines forms the road to recovery. This multidisciplinary approach proved instrumental in facilitating a swift recovery for the mother and her newborn, showcasing the power of collaborative care in ensuring holistic well-being.

Dr. Aravindan Selvaraj appreciated Dr. Baraneedharan and his team for reviving hope in the mother and her family.

(Input from various sources)

(Rehash/Komal Bhoi/MSM)

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