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We present the first reported experience of metformin use in pregnant women living with T1DM who used continuous glucose monitoring to monitor glycaemic outcomes. In our multicentre case series, metformin use was associated with an increased time in range and reduced glycaemic variability, supporting potential use in pregnant women with T1DM.<\/jats:p>","DOI":"10.1111\/imj.70607","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:04:36Z","timestamp":1786939476000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adjunctive metformin therapy in type 1 diabetes in pregnancy: insights from an Australian cohort"],"prefix":"10.1111","author":[{"given":"Mauli","family":"Govinna","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0702-5740","authenticated-orcid":false,"given":"Joanna","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Triay","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dev","family":"Kevat","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  Melbourne Victoria Australia"},{"name":"Departments of Endocrinology and Diabetes Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_5_2_1","article-title":"Pregnancy outcomes in type 2 versus type 1 diabetes: systematic review with meta\u2010analyses","volume":"13","author":"Drabl\u00f8s M","year":"2024","journal-title":"Endocr Connect"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/diabetology6120151"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(17)30194-8"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(20)30310-7"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0064585"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707193"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.70085"},{"key":"e_1_2_5_9_1","first-page":"240","article-title":"Effect of adding metformin to insulin therapy in pregnant women with uncontrolled type I diabetes as regard pregnancy outcome","volume":"11","author":"Abdullah A","year":"2021","journal-title":"EBWHJ"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-019-0618-2"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.70607","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/imj.70607","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.70607","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:04:37Z","timestamp":1786939477000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.70607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,16]]},"references-count":9,"alternative-id":["10.1111\/imj.70607"],"URL":"https:\/\/doi.org\/10.1111\/imj.70607","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,16]]},"assertion":[{"value":"2026-05-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"imj.70607"}}