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While DKA generally presents with glucose levels &gt;250 mg\/dL, up to 30% of DKA cases involve euglycemic DKA (euDKA) wherein glucose levels &lt;200 mg\/dL have been reported. However, detection and prevention of DKA in pregnancy can be challenging for both the pregnant individual and health care providers due to variable clinical presentations of the disease and the limitations of current ketone monitoring technologies. Abbott Diabetes Care (Alameda, CA) is developing a continuous dual glucose-ketone monitoring (DGK) system that utilizes a single sensor to enable continuous monitoring of interstitial glucose and \u03b2-hydroxybutyrate, the primary metabolic product of blood ketones. This article reviews the challenges of monitoring ketones during pregnancy and discusses how DGK could be considered for use in clinical practice once it becomes commercially available.<\/jats:p>","DOI":"10.1089\/dia.2025.0300","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T14:01:31Z","timestamp":1752069691000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Continuous Dual Glucose-Ketone Monitoring"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1751-2312","authenticated-orcid":false,"given":"Celeste","family":"Durnwald","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7602-0396","authenticated-orcid":false,"given":"Sarit","family":"Polsky","sequence":"additional","affiliation":[{"name":"Barbara Davis Center for Diabetes, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000060"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aace.2022.07.002"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4236\/oalib.1112246"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005667"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvad114.739"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.06.007"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-014-3163-6"},{"key":"e_1_3_3_9_2","volume-title":"StatPearls [Internet]","author":"Lizzo JM","year":"2025","unstructured":"Lizzo JM, , Goyal A, , Gupta V. 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