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The CONCEPTT trial randomized pregnant women with type 1 diabetes to real-time continuous glucose monitoring plus standard care or standard care alone. CGM use improved time spent in the target glucose range, reduced hyperglycemia, and was associated with better neonatal outcomes including lower rates of large-for-gestational-age birth and neonatal intensive care admission. For maternal-fetal medicine teams, the trial demonstrates that diabetes technology can be clinically meaningful in pregnancy when patients are trained to respond to trend information. The benefit is not simply the number of glucose readings but the ability to identify excursions and adjust insulin and nutrition in near real time. Implementation requires education, device access and rapid clinician feedback. The study supports a multidisciplinary model involving obstetrics, diabetology and diabetes educators, particularly for women at high risk of fetal overgrowth or glycemic instability.
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The CONCEPTT trial randomized pregnant women with type 1 diabetes to real-time continuous glucose monitoring plus standard care or standard care alone. CGM use improved time spent in the target glucose range, reduced hyperglycemia, and was associated with better neonatal outcomes including lower rates of large-for-gestational-age birth and neonatal intensive care admission. For maternal-fetal medicine teams, the trial demonstrates that diabetes technology can be clinically meaningful in pregnancy when patients are trained to respond to trend information. The benefit is not simply the number of glucose readings but the ability to identify excursions and adjust insulin and nutrition in near real time. Implementation requires education, device access and rapid clinician feedback. The study supports a multidisciplinary model involving obstetrics, diabetology and diabetes educators, particularly for women at high risk of fetal overgrowth or glycemic instability.
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