{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T10:28:47Z","timestamp":1793528927266,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Leona M. and Harry B. Helmsley Charitable Trust","award":["3-SRA-2023-1374-M-N, 3-SRA-2020-966-M-N, 1-SRA-201"],"award-info":[{"award-number":["3-SRA-2023-1374-M-N, 3-SRA-2020-966-M-N, 1-SRA-201"]}],"id":[{"id":"https:\/\/ror.org\/011x6n313","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Health and Medical Research Council","award":["1025083"],"award-info":[{"award-number":["1025083"]}],"id":[{"id":"https:\/\/ror.org\/011kf5r70","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Health and Medical Research Council","award":["1078106"],"award-info":[{"award-number":["1078106"]}],"id":[{"id":"https:\/\/ror.org\/011kf5r70","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Health and Medical Research Council","award":["2007957"],"award-info":[{"award-number":["2007957"]}],"id":[{"id":"https:\/\/ror.org\/011kf5r70","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Breakthrough T1D","award":["Type 1 Diabetes Clinical Research Network (T1DCRN)"],"award-info":[{"award-number":["Type 1 Diabetes Clinical Research Network (T1DCRN)"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Technology &amp; Therapeutics"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Continuous glucose monitoring (CGM) is increasingly used by women with type 1 diabetes (T1D) during pregnancy, but there are limited data on glycemic and pregnancy outcomes in large real-world cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We collected glycemic and pregnancy outcome data from women with T1D across Australian centers between 2015 and 2025. The primary outcome was change in HbA1c from the first to the third trimester of pregnancy. Prespecified secondary outcomes included trimester-specific mean HbA1c, the proportion of women achieving HbA1c \u22646.5% (\u226448 mmol\/L) and \u22647.0% (\u226453 mmol\/L) in the third trimester, and a range of maternal and neonatal health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 951 women, 456 (48%) were CGM users. Demographics and baseline characteristics were similar between CGM users and nonusers. For the primary outcome, adjusted linear regression models accounting for first-trimester HbA1c and insulin regimen demonstrated that CGM use was independently associated with a greater reduction in HbA1c over pregnancy (adjusted mean difference \u22120.20%, 95% confidence interval [CI] \u22120.40 to 0.00,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.037). First-trimester HbA1c was the strongest predictor of HbA1c change (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                    <jats:p>\n                      After adjustment for first-trimester HbA1c, first-trimester body mass index, insulin regimen, parity and year of delivery, CGM use was not associated with large- or small-for-gestational-age offspring and there was no significant difference between the groups in mean birthweight. Among primiparous women, CGM use was associated with lower odds of cesarean section after adjustment for confounders (adjusted odds ratio 0.22, 95% CI 0.08\u20130.58,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>CGM use in pregnancy is associated with improved glycemia. The treatment effect of CGM in this real-world study is similar to that observed in the CONCEPTT study, thus supporting CGM use in pregnant women with T1D.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15209156261455567","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T04:17:03Z","timestamp":1780373823000},"page":"1132-1140","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Continuous Glucose Monitoring in Pregnant Women with Type 1 Diabetes: Outcomes of a Population-Based Real-World Study"],"prefix":"10.1177","volume":"28","author":[{"given":"Sarah A.L.","family":"Price","sequence":"first","affiliation":[{"name":"Department of Medicine, The University of Melbourne, Parkville, Victoria, Australia."},{"name":"Royal Melbourne Hospital, Parkville, Victoria, Australia."},{"name":"Royal Women\u2019s Hospital, North Melbourne, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Chee","sequence":"additional","affiliation":[{"name":"Breakthrough T1D, Sydney, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arul","family":"Earnest","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca L.","family":"Thomson","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, Adelaide Medical School, Adelaide University, Adelaide, South Australia, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan A.S.","family":"Penno","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, Adelaide Medical School, Adelaide University, Adelaide, South Australia, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Couper","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, Adelaide Medical School, Adelaide University, Adelaide, South Australia, Australia."},{"name":"Women\u2019s and Children\u2019s Hospital, North Adelaide, South Australia, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Holmes-Walker","sequence":"additional","affiliation":[{"name":"Westmead Hospital, Westmead, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Johnson","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital at Westmead, Westmead, New South Wales."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glynis","family":"Ross","sequence":"additional","affiliation":[{"name":"Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia."},{"name":"Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianne","family":"Sweeting","sequence":"additional","affiliation":[{"name":"Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia."},{"name":"Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia."},{"name":"Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Simmons","sequence":"additional","affiliation":[{"name":"Campbelltown Hospital, Campbelltown, New South Wales, Australia."},{"name":"Macarthur Clinical School, Western Sydney University, Sydney, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Glastras","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital, Sydney, New South Wales, Australia."},{"name":"Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Shub","sequence":"additional","affiliation":[{"name":"Mercy Hospital, Heidelberg, Victoria, Australia."},{"name":"Department of Obstetrics, Gynaecology and Newborn Health, University of Melbourne, Heidelberg, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Griffin","sequence":"additional","affiliation":[{"name":"Gold Coast University Hospital, Southport, Queensland, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy","family":"Graham","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital, Subiaco, Western Australia, Australia."},{"name":"Department of Obstetrics and Gynaecology, University of Western 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