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dc.contributor.authorMayne, I.
dc.contributor.authorThomas, N.
dc.contributor.authorMcGovern, A.
dc.date.accessioned2022-04-21T09:41:51Z
dc.date.available2022-04-21T09:41:51Z
dc.date.issued2022-03-10
dc.identifier.citationBMJ Case Rep. 2022 Mar 10;15(3):e248533. doi: 10.1136/bcr-2021-248533.
dc.identifier.pmid35272992
dc.identifier.doi10.1136/bcr-2021-248533
dc.identifier.urihttps://rde.dspace-express.com/handle/11287/622466
dc.description.abstractA woman with gestational diabetes mellitus (GDM) and significant insulin resistance in her third pregnancy was diagnosed with a fasting blood glucose reading of 5.7 mmol/L (103 mg/dL) at 28+1 weeks gestation and referred to our diabetes team. Using a rapid, patient-led approach to basal insulin titration this patient achieved therapeutic doses and glucose targets in the limited time available during pregnancy, without causing significant hypoglycaemia. This method of insulin titration empowers women with GDM to take control of their own management and could reduce complications in GDM pregnancies at negligible additional cost. The only additional cost being that of the higher insulin doses used.
dc.language.isoeng
dc.publisherBMJ
dc.relation.url
dc.relation.urlhttps://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=35272992
dc.rights© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.
dc.subject*Diabetes, Gestational/diagnosis/drug therapy
dc.subjectFemale
dc.subjectGlycemic Control
dc.subjectHumans
dc.subject*Hypoglycemia/drug therapy
dc.subjectInsulin/therapeutic use
dc.subject*Insulin Resistance
dc.subjectPregnancy
dc.subjectdiabetes
dc.subjectendocrine system
dc.titleRapid, patient-led titration of basal insulin can be used to achieve tight glycaemic control in gestational diabetes mellitus with insulin resistance
dc.typeCase Reports
dc.identifier.journalBMJ case reports
dc.identifier.pmcidPMC8915315
dc.description.noteRD&E staff can access the full-text of this article by clicking on the 'Additional Link' above and logging in with NHS OpenAthens if prompted.
dc.type.versionepublish
dc.description.admin-notePublished version, accepted version (12 month embargo), submitted version
dc.date.epub2022-03-12
dc.citation.volume15
dc.citation.issue3


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