{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T16:23:25Z","timestamp":1783527805062,"version":"3.55.0"},"reference-count":151,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Gestational diabetes (GDM) is a frequent health problem associated with both short- and long-term adverse outcomes for mother and child. Standard management includes lifestyle interventions and, when necessary, pharmacologic therapy. However, the effectiveness and timely initiation of pharmacological therapy depend on accurate glucose monitoring. Continuous glucose monitoring (CGM) systems have emerged as valuable tools in diabetes care, providing real-time information on glycemic variability and enabling more individualized therapeutic interventions. In this narrative review, we explore the role of CGM in the early detection of dysglycemia, its diagnostic and prognostic value, and its ability to identify specific glycemic patterns during pregnancies complicated by GDM. We also assess its role in optimizing lifestyle interventions and guiding pharmacotherapeutic strategies. Current evidence suggests that CGM supports clinical decision-making and patient engaging by providing real-time glucose data. This facilitates earlier identification of hyperglycemic patterns, more precise treatment changes and improved glucose control. Furthermore, CGM use has been associated with improved neonatal and maternal outcomes. Despite these promising findings, barriers such as cost and limited access persist. Although the existing evidence remains relatively limited, it supports the integration of CGM into routine care of women with GDM as part of a comprehensive and personalized treatment strategy. Larger clinical trials are needed to fully understand the benefits and optimal use of CGM in GDM, as well as its impact on pregnancy outcomes, glycemic control and psychological well-being.<\/jats:p>","DOI":"10.3390\/diagnostics16142145","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:40:09Z","timestamp":1783525209000},"page":"2145","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Managing Gestational Diabetes Complexity with Continuous Glucose Monitoring: A Narrative Review"],"prefix":"10.3390","volume":"16","author":[{"given":"Anca-Elena","family":"Cr\u0103ciun","sequence":"first","affiliation":[{"name":"Department of Medical Sciences, Faculty of Nursing and Health Sciences, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania"},{"name":"Diabetes Center, Emergency Clinical County Hospital Cluj, 400006 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3351-6110","authenticated-orcid":false,"given":"Dana Mihaela","family":"Ciobanu","sequence":"additional","affiliation":[{"name":"Diabetes Center, Emergency Clinical County Hospital Cluj, 400006 Cluj-Napoca, Romania"},{"name":"Department of Diabetes and Nutrition Diseases, Faculty of Medicine, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1624-6916","authenticated-orcid":false,"given":"Georgeta","family":"Inceu","sequence":"additional","affiliation":[{"name":"Diabetes Center, Emergency Clinical County Hospital Cluj, 400006 Cluj-Napoca, Romania"},{"name":"Department of Diabetes and Nutrition Diseases, Faculty of Medicine, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camelia Larisa","family":"Vonica","sequence":"additional","affiliation":[{"name":"Diabetes Center, Emergency Clinical County Hospital Cluj, 400006 Cluj-Napoca, Romania"},{"name":"Department of Diabetes and Nutrition Diseases, Faculty of Medicine, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denisa","family":"Herman","sequence":"additional","affiliation":[{"name":"Diabetes Center, Emergency Clinical County Hospital Cluj, 400006 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian-Ioan","family":"Cr\u0103ciun","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, Toxicology and Clinical Pharmacology, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, 400337 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1124-6984","authenticated-orcid":false,"given":"Adriana","family":"Fodor","sequence":"additional","affiliation":[{"name":"Diabetes Center, Emergency Clinical County Hospital Cluj, 400006 Cluj-Napoca, Romania"},{"name":"Department of Diabetes and Nutrition Diseases, Faculty of Medicine, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6216-9088","authenticated-orcid":false,"given":"Cornelia","family":"Bala","sequence":"additional","affiliation":[{"name":"Diabetes Center, Emergency Clinical County Hospital Cluj, 400006 Cluj-Napoca, Romania"},{"name":"Department of Diabetes and Nutrition Diseases, Faculty of Medicine, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0977-8874","authenticated-orcid":false,"given":"Adriana","family":"Rusu","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Faculty of Nursing and Health Sciences, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania"},{"name":"Diabetes Center, Emergency Clinical County Hospital Cluj, 400006 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Lapolla, A., and Metzger, B.E. (2020). Gestational Diabetes: A Decade After the HAPO Study, Karger. [1st ed.].","DOI":"10.1159\/isbn.978-3-318-06612-8"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.2337\/dci24-0036","article-title":"Continuous Glucose Monitoring in Pregnancy: New Insights into Gestational Diabetes with More to Learn","volume":"47","author":"Scifres","year":"2024","journal-title":"Diabetes Care"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1111\/1471-0528.70208","article-title":"The Economic Burden of Gestational Diabetes and Body Mass Index Changes Between Pregnancies: A Retrospective Cohort Study","volume":"133","author":"Mahumud","year":"2026","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"725","DOI":"10.3897\/folmed.64.e65693","article-title":"Gestational Diabetes Mellitus: A Growing Economic Concern","volume":"64","author":"Staynova","year":"2022","journal-title":"Folia Med."},{"key":"ref_5","unstructured":"(2025, June 08). Gestational Diabetes|National Health Service. Available online: https:\/\/www.nhs.uk\/conditions\/gestational-diabetes\/."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Gherbon, A., Frandes, M., Toderescu, C.D., Dirpes, D., Timar, R., Nicula, M.N., Dascau, C., Daniluc, R., and Timar, B. (2025). Maternal and Fetal\u2013Neonatal Complications of Romanian Women with Gestational Diabetes: A Retrospective Comparative Study. Medicina, 61.","DOI":"10.3390\/medicina61071190"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Iman, A.E.H., Huniadi, A., Sandor, M., Zaha, I.A., Rotar, I., and Iuhas, C. (2025). Prevalence and Risk Factors of Gestational Diabetes Mellitus in Romania: Maternal and Fetal Outcomes. Medicina, 61.","DOI":"10.3390\/medicina61020194"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1177\/19322968231161317","article-title":"All Children Deserve to Be Safe, Mothers Too: Evidence and Rationale Supporting Continuous Glucose Monitoring Use in Gestational Diabetes Within the Medicaid Population","volume":"18","author":"Levy","year":"2023","journal-title":"J. Diabetes Sci. Technol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1210\/endrev\/bnac003","article-title":"A Clinical Update on Gestational Diabetes Mellitus","volume":"43","author":"Sweeting","year":"2022","journal-title":"Endocr. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e067946","DOI":"10.1136\/bmj-2021-067946","article-title":"Gestational diabetes mellitus and adverse pregnancy outcomes: Systematic review and meta-analysis","volume":"377","author":"Ye","year":"2022","journal-title":"BMJ"},{"key":"ref_11","first-page":"e44468","article-title":"The Incidence and Management of Type 2 Diabetes Mellitus After Gestational Diabetes Mellitus","volume":"15","author":"Rph","year":"2023","journal-title":"Cureus"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1007\/s11154-020-09587-0","article-title":"Cardiovascular risk factors in women with previous gestational diabetes mellitus: A systematic review and meta-analysis","volume":"22","author":"Pathirana","year":"2021","journal-title":"Rev. Endocr. Metab. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Juan, J., Sun, Y., Wei, Y., Wang, S., Song, G., Yan, J., Zhou, P., and Yang, H. (2022). Progression to type 2 diabetes mellitus after gestational diabetes mellitus diagnosed by IADPSG criteria: Systematic review and meta-analysis. Front. Endocrinol., 13.","DOI":"10.3389\/fendo.2022.1012244"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Lin, J., Jin, H., and Chen, L. (2021). Associations between insulin resistance and adverse pregnancy outcomes in women with gestational diabetes mellitus: A retrospective study. BMC Pregnancy Childbirth, 21.","DOI":"10.1186\/s12884-021-04006-x"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"5320156","DOI":"10.1155\/2019\/5320156","article-title":"Determinants of Maternal Insulin Resistance during Pregnancy: An Updated Overview","volume":"2019","author":"Kampmann","year":"2019","journal-title":"J. Diabetes Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.2337\/dc17-0369","article-title":"Poor Reliability and Poor Adherence to Self-Monitoring of Blood Glucose are Common in Women with Gestational Diabetes Mellitus and May Be Associated with Poor Pregnancy Outcomes","volume":"40","author":"Cosson","year":"2017","journal-title":"Diabetes Care"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1089\/dia.2022.0377","article-title":"Assessment of Glucose Monitoring Adherence in Medicare Beneficiaries with Insulin-Treated Diabetes","volume":"25","author":"Puckrein","year":"2023","journal-title":"Diabetes Technol. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Yeh, P.T., Kennedy, C.E., Rhee, D.K., Zera, C., Tun\u00e7alp, \u00d6., Lucido, B., Gomez Ponce de Leon, R., and Narasimhan, M. (2023). Self-monitoring of blood glucose levels among pregnant individuals with gestational diabetes: A systematic review and meta-analysis. Front. Glob. Women\u2019s Health, 4.","DOI":"10.3389\/fgwh.2023.1006041"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"American Diabetes Association Professional Practice Committee (2025). 15. Management of Diabetes in Pregnancy: Standards of Care in Diabetes-2025. Diabetes Care, 48, S306\u2013S320.","DOI":"10.2337\/dc25-S015"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"861","DOI":"10.12891\/ceog4284.2018","article-title":"Predicting macrosomic newborns using postprandial glycemia of pregnancy in diabetic women","volume":"45","author":"Taborda","year":"2018","journal-title":"Clin. Exp. Obstet. Gynecol."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Dey, K., Santra, T.S., and Tseng, F.G. (2025). Advancements in Glucose Monitoring: From Traditional Methods to Wearable Sensors. Appl. Sci., 15.","DOI":"10.3390\/app15052523"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Bender, C., Vestergaard, P., and Cichosz, S.L. (2025). The History, Evolution and Future of Continuous Glucose Monitoring (CGM). Diabetology, 6.","DOI":"10.3390\/diabetology6030017"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1007\/s44337-025-00273-1","article-title":"Evolution in blood glucose monitoring: A comprehensive review of invasive to non-invasive devices and sensors","volume":"2","author":"Ghosh","year":"2025","journal-title":"Discov. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"436","DOI":"10.4093\/dmj.2024.0160","article-title":"Comparison of Real-Time and Intermittently-Scanned Continuous Glucose Monitoring for Glycemic Control in Type 1 Diabetes Mellitus: Nationwide Cohort Study","volume":"49","author":"Kim","year":"2025","journal-title":"Diabetes Metab. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1089\/dia.2020.0073","article-title":"Continuous Glucose Monitoring Versus Self-Monitoring of Blood Glucose to Assess Glycemia in Gestational Diabetes","volume":"22","author":"Zaharieva","year":"2020","journal-title":"Diabetes Technol. Ther."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.amjms.2019.07.003","article-title":"Continuous Glucose Monitoring: Review of an Innovation in Diabetes Management","volume":"358","author":"Mian","year":"2019","journal-title":"Am. J. Med. Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"112","DOI":"10.2337\/cd17-0094","article-title":"Does time-in-range matter? Perspectives from people with diabetes on the success of current therapies and the drivers of improved outcomes","volume":"36","author":"Runge","year":"2018","journal-title":"Clin. Diabetes"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"9959779","DOI":"10.1155\/2021\/9959779","article-title":"Associations between Gestational Diabetes and Anxiety or Depression: A Systematic Review","volume":"2021","author":"Ouyang","year":"2021","journal-title":"J. Diabetes Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1007\/s11154-020-09610-4","article-title":"The experiences of pregnant women with gestational diabetes mellitus: A systematic review of qualitative evidence","volume":"22","author":"He","year":"2021","journal-title":"Rev. Endocr. Metab. Disord."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Majewska, A., Stanirowski, P.J., Wielgo\u015b, M., and Bomba-Opo\u0144, D. (2022). Efficacy of Continuous Glucose Monitoring on Glycaemic Control in Pregnant Women with Gestational Diabetes Mellitus\u2014A Systematic Review. J. Clin. Med., 11.","DOI":"10.3390\/jcm11102932"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1177\/19322968241239341","article-title":"Continuous Glucose Monitoring Metrics for Pregnancies Complicated by Diabetes: Critical Appraisal of Current Evidence","volume":"18","author":"Szmuilowicz","year":"2024","journal-title":"J. Diabetes Sci. Technol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1007\/s00592-023-02091-2","article-title":"Flash glucose monitoring in gestational diabetes mellitus (FLAMINGO): A randomised controlled trial","volume":"60","author":"Majewska","year":"2023","journal-title":"Acta Diabetol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"19920","DOI":"10.1038\/srep19920","article-title":"Effect of a CGMS and SMBG on Maternal and Neonatal Outcomes in Gestational Diabetes Mellitus: A Randomized Controlled Trial","volume":"6","author":"Wei","year":"2016","journal-title":"Sci. Rep."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s13098-016-0161-5","article-title":"Use of a real time continuous glucose monitoring system as an educational tool for patients with gestational diabetes","volume":"8","author":"Alfadhli","year":"2016","journal-title":"Diabetol. Metab. Syndr."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Lai, M., Weng, J., Yang, J., Gong, Y., Fang, F., Li, N., Kang, M., Xu, X., and Wang, Y. (2023). Effect of continuous glucose monitoring compared with self-monitoring of blood glucose in gestational diabetes patients with HbA1c < 6%: A randomized controlled trial. Front. Endocrinol., 14.","DOI":"10.3389\/fendo.2023.1174239"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1111\/jdi.70019","article-title":"Overcoming Barriers in Continuous Glucose Monitoring: Challenges and Future Directions in Diabetes Management","volume":"16","author":"Chen","year":"2025","journal-title":"J. Diabetes Investig."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Tranidou, A., Tsakiridis, I., Apostolopoulou, A., Xenidis, T., Pazaras, N., Mamopoulos, A., Athanasiadis, A., Chourdakis, M., and Dagklis, T. (2023). Prediction of Gestational Diabetes Mellitus in the First Trimester of Pregnancy Based on Maternal Variables and Pregnancy Biomarkers. Nutrients, 16.","DOI":"10.3390\/nu16010120"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Parsaei, M., Dashtkoohi, M., Noorafrooz, M., Haddadi, M., Sepidarkish, M., Mardi-Mamaghani, A., Esmaeili, M., Shafaatdoost, M., Shizarpour, A., and Moini, A. (2024). Prediction of gestational diabetes mellitus using early-pregnancy data: A secondary analysis from a prospective cohort study in Iran. BMC Pregnancy Childbirth, 24.","DOI":"10.1186\/s12884-024-07079-6"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1089\/dia.2024.0563","article-title":"Continuous Glucose Monitoring-Measured Glucose Levels During Oral Glucose Tolerance Testing in Pregnancy","volume":"27","author":"Carlson","year":"2025","journal-title":"Diabetes Technol. Ther."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.2337\/dc23-2149","article-title":"Continuous Glucose Monitoring Profiles in Pregnancies with and Without Gestational Diabetes Mellitus","volume":"47","author":"Durnwald","year":"2024","journal-title":"Diabetes Care"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"113044","DOI":"10.1016\/j.diabres.2025.113044","article-title":"Prediction of gestational diabetes mellitus using continuous glucose monitoring metrics","volume":"231","author":"Chen","year":"2026","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1089\/dia.2024.0080","article-title":"Continuous Glucose Monitoring Prediction of Gestational Diabetes Mellitus and Perinatal Complications","volume":"26","author":"Li","year":"2024","journal-title":"Diabetes Technol. Ther."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Di Filippo, D., Henry, A., Bell, C., Haynes, S., Chang, M.H.Y., Darling, J., and Welsh, A. (2023). A new continuous glucose monitor for the diagnosis of gestational diabetes mellitus: A pilot study. BMC Pregnancy Childbirth, 23.","DOI":"10.1186\/s12884-023-05496-7"},{"key":"ref_44","first-page":"5142918","article-title":"Continuous Glucose Monitoring for the Diagnosis of Gestational Diabetes Mellitus: A Pilot Study","volume":"2022","author":"Ahmadzai","year":"2022","journal-title":"J. Diabetes. Res."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Kusinski, L.C., Brown, J., Hughes, D.J., and Meek, C.L. (2023). Feasibility and acceptability of continuous glucose monitoring in pregnancy for the diagnosis of gestational diabetes: A single-centre prospective mixed methods study. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0292094"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"GO MOMs Study Group (2026). Early Pregnancy Glycemic Testing for Prediction of Gestational Diabetes Mellitus and Large for Gestational Age Birth Weight. Diabetes Care, dc260302.","DOI":"10.2337\/figshare.32288004"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"e003989","DOI":"10.1136\/bmjdrc-2023-003989","article-title":"Glucose levels measured with continuous glucose monitoring in uncomplicated pregnancies","volume":"12","author":"Carlson","year":"2024","journal-title":"BMJ Open Diabetes Res. Care"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1111\/jdi.13865","article-title":"Continuous glucose monitoring system profile of women diagnosed as gestational diabetes mellitus by International Association of Diabetes and Pregnancy Study Groups criteria and labeled as normoglycemic by alternate criteria in early pregnancy","volume":"13","author":"Gupta","year":"2022","journal-title":"J. Diabetes Investig."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"502","DOI":"10.2337\/dc22-1357","article-title":"Roux-en-Y Gastric Bypass Increases Glycemic Excursions During Pregnancy and Postpartum: A Prospective Cohort Study","volume":"46","author":"Stentebjerg","year":"2023","journal-title":"Diabetes Care"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"2547","DOI":"10.1097\/CM9.0000000000002423","article-title":"Intrapartum and early postpartum glycemic profiles in women with gestational diabetes mellitus: An observational study","volume":"135","author":"Ding","year":"2022","journal-title":"Chin. Med. J."},{"key":"ref_51","first-page":"19322968251351819","article-title":"Postpartum Continuous Glucose Monitoring to Detect Dysglycemia After Gestational Diabetes","volume":"20","author":"Cabrera","year":"2025","journal-title":"J. Diabetes Sci. Technol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"111929","DOI":"10.1016\/j.diabres.2024.111929","article-title":"Postpartum dysglycaemia after early gestational diabetes: Follow-up of women in the TOBOGM randomised controlled trial","volume":"218","author":"Cheung","year":"2024","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1021066","DOI":"10.1155\/jdr\/1021066","article-title":"Correlation Between Blood Glucose Variability Indices Using Continuous Glucose Monitoring in Gestational Diabetes Patients and Abnormal Glucose Levels 42 Days Postpartum","volume":"2025","author":"Wang","year":"2025","journal-title":"J. Diabetes Res."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Salmen, B.M., Reurean-Pintilei, D., Salmen, T., and Boh\u00eel\u021bea, R.E. (2025). Exploring Continuous Glucose Monitoring in Gestational Diabetes: A Systematic Review. Life, 15.","DOI":"10.3390\/life15091369"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"S8","DOI":"10.1089\/dia.2020.0667","article-title":"Benefits of Real-Time Continuous Glucose Monitoring in Pregnancy","volume":"23","author":"Yamamoto","year":"2021","journal-title":"Diabetes Technol. Ther."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.2337\/dci19-0028","article-title":"Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations from the International Consensus on Time in Range","volume":"42","author":"Battelino","year":"2019","journal-title":"Diabetes Care"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"American Diabetes Association Professional Practice Committee (2025). 7. Diabetes Technology: Standards of Care in Diabetes-2025. Diabetes Care, 48, S146\u2013S166.","DOI":"10.2337\/dc25-S007"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/S2213-8587(25)00335-3","article-title":"Application of continuous glucose monitoring and automated insulin delivery technologies for pregnant women with type 1, type 2, or gestational diabetes: An international consensus statement","volume":"14","author":"Benhalima","year":"2026","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1055\/a-2407-0905","article-title":"From Standard of Care to Emerging Innovations: Navigating the Evolution of Pharmacological Treatment of Gestational Diabetes","volume":"42","author":"Palatnik","year":"2025","journal-title":"Am. J. Perinatol."},{"key":"ref_60","first-page":"279021","article-title":"Glucose Fluctuations during Gestation: An Additional Tool for Monitoring Pregnancy Complicated by Diabetes","volume":"2013","author":"Chilelli","year":"2013","journal-title":"Int. J. Endocrinol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.2337\/db12-1396","article-title":"Glucose variability","volume":"62","author":"Service","year":"2013","journal-title":"Diabetes"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"4065","DOI":"10.2147\/DMSO.S379616","article-title":"Glycemic Variability in Early Pregnancy May Predict a Subsequent Diagnosis of Gestational Diabetes","volume":"15","author":"Quah","year":"2022","journal-title":"Diabetes Metab. Syndr. Obes."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.3109\/14767058.2012.670413","article-title":"Measuring glucose exposure and variability using continuous glucose monitoring in normal and abnormal glucose metabolism in pregnancy","volume":"25","author":"Mazze","year":"2012","journal-title":"J. Matern. Fetal Neonatal. Med."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"44","DOI":"10.26650\/IUITFD.1193997","article-title":"Determining the importance of glycemic variability in gestational diabetes mellitus using various techniques","volume":"86","author":"Oztop","year":"2023","journal-title":"J. Istanb. Fac. Med."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"32","DOI":"10.59556\/japi.71.0412","article-title":"Glycemic Variability and Its Correlation with Large for Gestation-age Babies in Gestational Diabetic Pregnancies","volume":"71","author":"Baghel","year":"2023","journal-title":"J. Assoc. Physicians India"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"2660439","DOI":"10.1080\/14767058.2026.2660439","article-title":"Association between glycemic variability and composite adverse neonatal outcomes in patients with gestational diabetes mellitus: A retrospective study","volume":"39","author":"Chen","year":"2026","journal-title":"J. Matern. Fetal Neonatal Med."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"4674","DOI":"10.1210\/jc.2013-4332","article-title":"Continuous glucose monitoring effects on maternal glycemic control and pregnancy outcomes in patients with gestational diabetes mellitus: A prospective cohort study","volume":"99","author":"Yu","year":"2014","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"S173","DOI":"10.1016\/S0020-7292(15)30007-2","article-title":"The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care","volume":"131","author":"Hod","year":"2015","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.clnesp.2025.08.007","article-title":"Dietary intakes and physical activity of women with gestational diabetes are not associated with continuous glucose monitoring metrics; secondary analysis of the DiGest trial","volume":"70","author":"Jones","year":"2025","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1530\/EJE-16-0015","article-title":"Seventy two-hour glucose monitoring profiles in mild gestational diabetes mellitus: Differences from healthy pregnancies and influence of diet counseling","volume":"175","author":"Carreiro","year":"2016","journal-title":"Eur. J. Endocrinol."},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Mavroeidi, I., Manta, A., Asimakopoulou, A., Syrigos, A., Paschou, S.A., Vlachaki, E., Nastos, C., Kalantaridou, S., and Peppa, M. (2024). The Role of the Glycemic Index and Glycemic Load in the Dietary Approach of Gestational Diabetes Mellitus. Nutrients, 16.","DOI":"10.3390\/nu16030399"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"1974","DOI":"10.3390\/nu15081974","article-title":"Physical Activity, but Not Glycaemic Load, Is Associated with Lower Real-Time Glycaemic Control in Free-Living Women with Gestational Diabetes Mellitus","volume":"15","author":"Jardine","year":"2023","journal-title":"Nutrients"},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Rasmussen, L., Christensen, M.L., Poulsen, C.W., Rud, C., Christensen, A.S., Andersen, J.R., Kampmann, U., and Ovesen, P.G. (2020). Effect of High Versus Low Carbohydrate Intake in the Morning on Glycemic Variability and Glycemic Control Measured by Continuous Blood Glucose Monitoring in Women with Gestational Diabetes Mellitus\u2014A Randomized Crossover Study. Nutrients, 12.","DOI":"10.3390\/nu12020475"},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Dingena, C.F., Holmes, M.J., Campbell, M.D., Cade, J.E., Scott, E.M., and Zulyniak, M.A. (2023). Observational assessments of the relationship of dietary and pharmacological treatment on continuous measures of dysglycemia over 24 hours in women with gestational diabetes. Front. Endocrinol., 14.","DOI":"10.3389\/fendo.2023.1065985"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Murugesan, R., Kumar, J.S., Leela, K.V., Thiruselvam, S., Satheesan, A., and Geetha, K. (2026, July 05). Improving Glucose Control in GDM with Food Sequencing: A CGM-Based Intervention Study. Available online: https:\/\/ssrn.com\/abstract=5211866.","DOI":"10.2139\/ssrn.5211866"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1038\/s41522-025-00650-9","article-title":"Personalized prediction of glycemic responses to food in women with diet-treated gestational diabetes: The role of the gut microbiota","volume":"11","author":"Popova","year":"2025","journal-title":"npj Biofilms Microbiomes"},{"key":"ref_77","doi-asserted-by":"crossref","unstructured":"Liu, H., Xing, Y., Wang, Y., Ren, X., Zhang, D., Dai, J., Xiu, Z., Yu, S., and Dong, Y. (2023). Dendrobium officinale Polysaccharide Prevents Diabetes via the Regulation of Gut Microbiota in Prediabetic Mice. Foods, 12.","DOI":"10.3390\/foods12122310"},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Markussen, L.T., Kivel\u00e4, J., Lindstr\u00f6m, J., Ollikainen, M., Kyt\u00f6, M., Heinonen, S., Koivusalo, S., and Meinil\u00e4, J. (2025). Glycemic control in women with GDM: Insights from a randomized controlled pilot trial on plant-based Nordic healthy diet versus moderately carbohydrate restricted diet. BMC Nutr., 11.","DOI":"10.1186\/s40795-024-00988-x"},{"key":"ref_79","doi-asserted-by":"crossref","unstructured":"Pustozerov, E., Tkachuk, A., Vasukova, E., Dronova, A., Shilova, E., Anopova, A., Piven, F., Pervunina, T., Vasilieva, E., and Grineva, E. (2020). The Role of Glycemic Index and Glycemic Load in the Development of Real-Time Postprandial Glycemic Response Prediction Models for Patients with Gestational Diabetes. Nutrients, 12.","DOI":"10.3390\/nu12020302"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"541.e1","DOI":"10.1016\/j.ajog.2024.02.303","article-title":"Periodic mobile application (eMOM) with self-tracking of glucose and lifestyle improves treatment of diet-controlled gestational diabetes without human guidance: A randomized controlled trial","volume":"231","author":"Hotta","year":"2024","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"2320","DOI":"10.1016\/j.clnu.2023.10.009","article-title":"Associations of predominant night-eating with plasma glycemic status and continuous glucose monitoring measures among pregnant women","volume":"42","author":"Loy","year":"2023","journal-title":"Clin. Nutr."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"108669","DOI":"10.1016\/j.diabres.2021.108669","article-title":"Evaluation of optimum diabetes care on glycemic control of patients with gestational diabetes during Ramadan fasting","volume":"173","author":"Hassanein","year":"2021","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.diabres.2019.01.036","article-title":"The value of Continuous Glucose Monitoring and Self-Monitoring of Blood Glucose in patients with Gestational Diabetes Mellitus during Ramadan fasting","volume":"151","author":"Afandi","year":"2019","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Kumar, S., and Diamond, T. (2022). Ramadan Fasting and Maternal and Fetal Outcomes in Pregnant Women with Diabetes Mellitus: Literature Review. Front. Endocrinol., 13.","DOI":"10.3389\/fendo.2022.900153"},{"key":"ref_85","first-page":"17-0128","article-title":"Experience with FreeStyle Libre Flash glucose monitoring system in management of refractory dumping syndrome in pregnancy shortly after bariatric surgery","volume":"2017","author":"Novodvorsky","year":"2017","journal-title":"Endocrinol. Diabetes Metab. Case Rep."},{"key":"ref_86","doi-asserted-by":"crossref","unstructured":"Dib, S., Kusinski, L.C., Jones, D.L., Atta, N., Smith, S., De Lucia Rolfe, E., Murphy, H.R., Taylor, R., and Meek, C.L. (2025). Energy Restriction, Weight Loss, Glycemia, and Breastfeeding Outcomes in Gestational Diabetes: A DiGest Trial Secondary Analysis. Diabetes Care, dc242625.","DOI":"10.2337\/dc24-2625"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"100440","DOI":"10.1016\/j.ajogmf.2021.100440","article-title":"Postprandial interval walking-effect on blood glucose in pregnant women with gestational diabetes","volume":"3","author":"Andersen","year":"2021","journal-title":"Am. J. Obstet. Gynecol. MFM"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"E14","DOI":"10.1017\/S0029665115004474","article-title":"Relationship between sleep quality, sleep duration and glucose control in pregnant women with gestational diabetes","volume":"75","author":"Alnaji","year":"2016","journal-title":"Proc. Nutr. Soc."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.chest.2020.07.014","article-title":"Maternal Sleep-Disordered Breathing in Pregnancy and Increased Nocturnal Glucose Levels in Women with Gestational Diabetes Mellitus","volume":"159","author":"Newbold","year":"2021","journal-title":"Chest"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.2196\/mhealth.9236","article-title":"Development and Evaluation of a Mobile Personalized Blood Glucose Prediction System for Patients with Gestational Diabetes Mellitus","volume":"6","author":"Pustozerov","year":"2018","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref_91","doi-asserted-by":"crossref","unstructured":"Gerede, A., Domali, E., Chatzakis, C., Margioula-Siarkou, C., Petousis, S., Stavros, S., Nikolettos, K., Gouveri, E., Sotiriou, S., and Tsikouras, P. (2025). Metformin for Treating Gestational Diabetes: What Have We Learned During the Last Two Decades? A Systematic Review. Life, 15.","DOI":"10.3390\/life15010130"},{"key":"ref_92","first-page":"96","article-title":"Glycemic variability in diagnosis of gestational diabetes as predictor of pharmacological treatment","volume":"71","year":"2024","journal-title":"Endocrinol. Diabetes Nutr. (Engl. Ed.)"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1089\/dia.2019.0319","article-title":"Continuous Glucose Monitoring and Glycemic Patterns in Pregnant Women with Gestational Diabetes Mellitus","volume":"22","year":"2020","journal-title":"Diabetes Technol. Ther."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.diabres.2006.12.012","article-title":"Continuous glucose monitoring versus self-monitoring of blood glucose in the treatment of gestational diabetes mellitus","volume":"77","author":"Ekblad","year":"2007","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"101878","DOI":"10.1016\/j.ajogmf.2025.101878","article-title":"A randomized controlled trial of real-time continuous glucose monitoring (RT-CGM) for self-management of gestational diabetes","volume":"8","author":"Ehrhardt","year":"2026","journal-title":"Am. J. Obstet. Gynecol. MFM"},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"100050","DOI":"10.1016\/j.ajogmf.2019.100050","article-title":"Intensive glycemic control in gestational diabetes mellitus: A randomized controlled clinical feasibility trial","volume":"1","author":"Scifres","year":"2019","journal-title":"Am. J. Obstet. Gynecol. MFM"},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1111\/dme.13649","article-title":"Continuous Glucose Monitoring Results in Lower HbA 1c in Malaysian Women with Insulin-treated Gestational Diabetes: A Randomized Controlled Trial","volume":"35","author":"Paramasivam","year":"2018","journal-title":"Diabet. Med."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"486","DOI":"10.2337\/cd20-0047","article-title":"Leveraging Technology to Improve Diabetes Care in Pregnancy","volume":"38","author":"Crimmins","year":"2020","journal-title":"Clin. Diabetes"},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.ajog.2025.04.010","article-title":"Evidence for Improved Glucose Metrics and Perinatal Outcomes with Continuous Glucose Monitoring Compared to Self-Monitoring in Diabetes during Pregnancy","volume":"233","author":"Burk","year":"2025","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.2337\/dc19-2527","article-title":"Continuous Glucose Monitoring in Pregnancy: Importance of Analyzing Temporal Profiles to Understand Clinical Outcomes","volume":"43","author":"Scott","year":"2020","journal-title":"Diabetes Care"},{"key":"ref_101","unstructured":"National Institute for Health and Care Excellence (2026, June 29). Diabetes in Pregnancy: Management from Preconception to the Postnatal Period. NICE Guideline. Available online: https:\/\/www.nice.org.uk\/guidance\/ng3."},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"E18","DOI":"10.1111\/ajo.13265","article-title":"ADIPS 2020 Guideline for Pre-existing Diabetes and Pregnancy","volume":"60","author":"Rudland","year":"2020","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1080\/jmf.14.4.256.260","article-title":"Continuous Glucose Monitoring for the Evaluation and Improved Control of Gestational Diabetes Mellitus","volume":"14","author":"Chen","year":"2003","journal-title":"J. Matern. Fetal Neonatal. Med."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"245","DOI":"10.4158\/EP.12.3.245","article-title":"Evaluation of Metabolic Control in Women with Gestational Diabetes Mellitus by the Continuous Glucose Monitoring System: A Pilot Study","volume":"12","author":"Cypryk","year":"2006","journal-title":"Endocr. Pract."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1055\/s-0039-1678733","article-title":"Real-Time Continuous Glucose Monitoring in Gestational Diabetes: A Randomized Controlled Trial","volume":"36","author":"Lane","year":"2019","journal-title":"Am. J. Perinatol."},{"key":"ref_106","doi-asserted-by":"crossref","unstructured":"Suvarna, R., and Shetty, S. (2026). Effectiveness of continuous glucose monitoring on maternal and neonatal outcomes in gestational diabetes mellitus: A systematic review and meta-analysis. BMC Pregnancy Childbirth, 26.","DOI":"10.1186\/s12884-026-08663-8"},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"5714","DOI":"10.21037\/apm-21-439","article-title":"The Effects of the Instantaneous Scanning Glucose Monitoring System on Hypoglycemia, Weight Gain, and Health Behaviors in Patients with Gestational Diabetes: A Randomised Trial","volume":"10","author":"Zhang","year":"2021","journal-title":"Ann. Palliat. Med."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"584","DOI":"10.5603\/gpl.104033","article-title":"The One-Center Experience Comparing Glucose Monitoring in Patients with Gestational Diabetes Mellitus Utilizing Flash Glucose Monitoring (FGM) versus Traditional Self-Blood Glucose Monitoring (SBGM)","volume":"96","author":"Kwiatkowska","year":"2025","journal-title":"Ginekol. Pol."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1007\/s00592-023-02042-x","article-title":"Using Flash Glucose Monitoring in Pregnancies in Routine Care of Patients with Gestational Diabetes Mellitus: A Pilot Study","volume":"60","author":"Bastobbe","year":"2023","journal-title":"Acta Diabetol."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"e1370","DOI":"10.1055\/s-0043-1764208","article-title":"Continuous Glucose Monitoring and Time in Range: Association with Adverse Outcomes among People with Type 2 or Gestational Diabetes Mellitus","volume":"41","author":"Bitar","year":"2024","journal-title":"Am. J. Perinatol."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.1111\/dom.13310","article-title":"Continuous Glucose Monitoring during Diabetic Pregnancy (GlucoMOMS): A Multicentre Randomized Controlled Trial","volume":"20","author":"Voormolen","year":"2018","journal-title":"Diabetes Obes. Metab."},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"3798","DOI":"10.1111\/dom.15276","article-title":"Continuous Glucose Monitoring Metrics and Pregnancy Outcomes in Insulin-treated Diabetes: A Post-hoc Analysis of the GlucoMOMS trial","volume":"25","author":"Rademaker","year":"2023","journal-title":"Diabetes Obes. Metab."},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1007\/s12020-021-02787-x","article-title":"Identification of Maternal Continuous Glucose Monitoring Metrics Related to Newborn Birth Weight in Pregnant Women with Gestational Diabetes","volume":"74","author":"Shen","year":"2021","journal-title":"Endocrine"},{"key":"ref_114","doi-asserted-by":"crossref","first-page":"810","DOI":"10.2337\/dc18-2212","article-title":"Suboptimal Nocturnal Glucose Control Is Associated with Large for Gestational Age in Treated Gestational Diabetes Mellitus","volume":"42","author":"Law","year":"2019","journal-title":"Diabetes Care"},{"key":"ref_115","first-page":"100823","article-title":"Continuous Glucose Monitoring-Derived Glycemic Metrics and Adverse Pregnancy Outcomes among Women with Gestational Diabetes: A Prospective Cohort Study","volume":"39","author":"Liang","year":"2023","journal-title":"Lancet Reg. Health West Pac."},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1111\/dom.70254","article-title":"Continuous glucose monitoring in early gestational diabetes improves maternal and neonatal outcomes-The Steady Sugar trial","volume":"28","author":"Armatta","year":"2026","journal-title":"Diabetes Obes. Metab."},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/S2213-8587(25)00288-8","article-title":"Glycaemic control and pregnancy outcomes with real-time continuous glucose monitoring in gestational diabetes (GRACE): An open-label, multicentre, multinational, randomised controlled trial","volume":"14","author":"Linder","year":"2026","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_118","doi-asserted-by":"crossref","unstructured":"Lai, X., Yu, J., Zhu, S., Zhang, K., and Ye, X. (2026). The effect of continuous glucose monitoring on neonatal outcomes in pregnant women with diabetes. Front. Endocrinol., 17.","DOI":"10.3389\/fendo.2026.1815133"},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s12955-020-01293-4","article-title":"Factors affecting the quality of life in women with gestational diabetes mellitus: A path analysis model","volume":"18","author":"Ansarzadeh","year":"2020","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1111\/dme.13926","article-title":"Women\u2019s views on lifestyle changes to reduce the risk of developing Type 2 diabetes after gestational diabetes: A systematic review, qualitative synthesis and recommendations for practice","volume":"36","author":"Dennison","year":"2019","journal-title":"Diabet. Med."},{"key":"ref_121","doi-asserted-by":"crossref","unstructured":"Nazarpour, S., Simbar, M., Kiani, Z., Khalaji, N., Khorrami Khargh, M., and Naeiji, Z. (2024). The relationship between quality of life and some mental problems in women with gestational diabetes mellitus (GDM): A cross-sectional study. BMC Psychiatry, 24.","DOI":"10.1186\/s12888-024-05960-4"},{"key":"ref_122","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1177\/1049732314524636","article-title":"Perceptions Among Women with Gestational Diabetes","volume":"24","author":"Parsons","year":"2014","journal-title":"Qual. Health Res."},{"key":"ref_123","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1111\/j.1471-6712.2009.00735.x","article-title":"\u2018From stun to gradual balance\u2019\u2014Women\u2019s experiences of living with gestational diabetes mellitus","volume":"24","author":"Persson","year":"2010","journal-title":"Scand. J. Caring Sci."},{"key":"ref_124","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.midw.2016.06.019","article-title":"Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study","volume":"40","author":"Draffin","year":"2016","journal-title":"Midwifery"},{"key":"ref_125","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.midw.2017.12.021","article-title":"Women\u2019s experiences with using a smartphone app (the Pregnant+ app) to manage gestational diabetes mellitus in a randomised controlled trial","volume":"58","author":"Skar","year":"2018","journal-title":"Midwifery"},{"key":"ref_126","doi-asserted-by":"crossref","first-page":"6670","DOI":"10.3390\/ijerph18126670","article-title":"Women\u2019s Usage Behavior and Perceived Usefulness with Using a Mobile Health Application for Gestational Diabetes Mellitus: Mixed-Methods Study","volume":"18","author":"Surendran","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_127","doi-asserted-by":"crossref","first-page":"453.e1","DOI":"10.1016\/j.ajog.2018.01.044","article-title":"The impact of a daily smartphone-based feedback system among women with gestational diabetes on compliance, glycemic control, satisfaction, and pregnancy outcome: A randomized controlled trial","volume":"218","author":"Miremberg","year":"2018","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_128","doi-asserted-by":"crossref","first-page":"e030884","DOI":"10.1136\/bmjopen-2019-030884","article-title":"Effect of the Pregnant+ smartphone application in women with gestational diabetes mellitus: A randomised controlled trial in Norway","volume":"9","author":"Borgen","year":"2019","journal-title":"BMJ Open"},{"key":"ref_129","doi-asserted-by":"crossref","first-page":"e36987","DOI":"10.2196\/36987","article-title":"Behavior Change App for Self-management of Gestational Diabetes: Design and Evaluation of Desirable Features","volume":"9","author":"Koivusalo","year":"2022","journal-title":"JMIR Hum. Factors"},{"key":"ref_130","doi-asserted-by":"crossref","first-page":"e43979","DOI":"10.2196\/43979","article-title":"Supporting the Management of Gestational Diabetes Mellitus with Comprehensive Self-Tracking: Mixed Methods Study of Wearable Sensors","volume":"8","author":"Koivusalo","year":"2023","journal-title":"JMIR Diabetes"},{"key":"ref_131","doi-asserted-by":"crossref","first-page":"e46","DOI":"10.3346\/jkms.2025.40.e46","article-title":"Quality of Life in Women with Gestational Diabetes Mellitus and Treatment Satisfaction Upon Intermittently Scanned Continuous Glucose Monitoring","volume":"40","author":"Won","year":"2025","journal-title":"J. Korean Med. Sci."},{"key":"ref_132","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/S2213-8587(25)00063-4","article-title":"Continuous glucose monitoring in the management of gestational diabetes in Switzerland (DipGluMo): An open-label, single-centre, randomised, controlled trial","volume":"13","author":"Zennaro","year":"2025","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_133","doi-asserted-by":"crossref","first-page":"736","DOI":"10.2337\/dc17-0133","article-title":"The Impact of Continuous Glucose Monitoring on Markers of Quality of Life in Adults with Type 1 Diabetes: Further Findings from the DIAMOND Randomized Clinical Trial","volume":"40","author":"Polonsky","year":"2017","journal-title":"Diabetes Care"},{"key":"ref_134","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1210\/jc.2017-02498","article-title":"Effect of Continuous Glucose Monitoring on Glycemic Control, Acute Admissions, and Quality of Life: A Real-World Study","volume":"103","author":"Charleer","year":"2018","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_135","doi-asserted-by":"crossref","unstructured":"Sun, S., Pellowski, J., Pisani, C., Pandey, D., Go, M., Chu, M., Ruan, J., and Werner, E.F. (2023). Experiences of Stigma, Psychological Distress, and Facilitative Coping Among Pregnant People with Gestational Diabetes Mellitus. BMC Pregnancy Childbirth, 23.","DOI":"10.1186\/s12884-023-05949-z"},{"key":"ref_136","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.2337\/dc25-0115","article-title":"Real-Time Continuous Glucose Monitoring in Pregnancies with Gestational Diabetes Mellitus: A Randomized Controlled Trial","volume":"48","author":"Valent","year":"2025","journal-title":"Diabetes Care"},{"key":"ref_137","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1089\/dia.2024.0478","article-title":"The Cost of Continuous Glucose Monitoring Versus Self-Monitoring of Blood Glucose in Type 1 Diabetes Pregnancies in the United States: A Cost-Consequences Analysis Using Real-World Evidence","volume":"27","author":"DiStefano","year":"2025","journal-title":"Diabetes Technol. Ther."},{"key":"ref_138","doi-asserted-by":"crossref","first-page":"112389","DOI":"10.1016\/j.diabres.2025.112389","article-title":"Continuous glucose monitoring in gestational diabetes mellitus: Hope or hype?","volume":"227","author":"Chai","year":"2025","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_139","doi-asserted-by":"crossref","first-page":"2053","DOI":"10.2337\/dc18-0833","article-title":"A Perspective on the Accuracy of Blood Glucose Meters During Pregnancy","volume":"41","author":"Immanuel","year":"2018","journal-title":"Diabetes Care"},{"key":"ref_140","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1089\/jwh.2023.0864","article-title":"Continuous Glucose Monitoring for Gestational Diabetes Management Working Group. Practical Considerations for Using Continuous Glucose Monitoring in Patients with Gestational Diabetes Mellitus","volume":"34","author":"Castorino","year":"2025","journal-title":"J. Women\u2019s Health"},{"key":"ref_141","doi-asserted-by":"crossref","first-page":"107910","DOI":"10.1016\/j.diabres.2019.107910","article-title":"RT-CGM in adults with type 1 diabetes improves both glycaemic and patient-reported outcomes, but independent of each other","volume":"158","author":"Nefs","year":"2019","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_142","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1177\/1932296817704442","article-title":"Gestational Diabetes Management Using Smart Mobile Telemedicine","volume":"12","author":"Rigla","year":"2018","journal-title":"J. Diabetes Sci. Technol."},{"key":"ref_143","doi-asserted-by":"crossref","first-page":"23724","DOI":"10.1038\/s41598-025-08755-z","article-title":"Impact of a novel smartphone application for remote monitoring of gestational diabetes on glycaemic control and birth outcomes: A pilot observational study","volume":"15","author":"Smyth","year":"2025","journal-title":"Sci. Rep."},{"key":"ref_144","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.ando.2024.07.003","article-title":"Improving gestational diabetes care: Mobile glucose monitoring to reduce complications","volume":"85","author":"Leyris","year":"2024","journal-title":"Ann. Endocrinol."},{"key":"ref_145","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1007\/s00592-023-02099-8","article-title":"Effectiveness of a comprehensive telemedicine intervention replacing standard care in gestational diabetes: A randomized controlled trial","volume":"60","author":"Munda","year":"2023","journal-title":"Acta Diabetol."},{"key":"ref_146","first-page":"e71907","article-title":"Telemedicine and gestational diabetes mellitus: Systematic review and meta-analysis","volume":"16","author":"Younis","year":"2024","journal-title":"Cureus"},{"key":"ref_147","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s40842-024-00176-7","article-title":"The role of machine learning algorithms in detection of gestational diabetes: A narrative review of current evidence","volume":"10","author":"Kokori","year":"2024","journal-title":"Clin. Diabetes Endocrinol."},{"key":"ref_148","doi-asserted-by":"crossref","unstructured":"Wang, Y., Lai, J., Zeng, H., Ouyang, Y., and Li, N. (2026). Perinatal Outcomes with Continuous Glucose Monitoring in Gestational Diabetes: A Systematic Review and Meta-Analysis. J. Diabetes Sci. Technol., 19322968261443538.","DOI":"10.1177\/19322968261443538"},{"key":"ref_149","doi-asserted-by":"crossref","first-page":"e14703","DOI":"10.1111\/dme.14703","article-title":"Efficacy of continuous glucose monitoring on maternal and neonatal outcomes in gestational diabetes mellitus: A systematic review and meta-analysis of randomized clinical trials","volume":"39","author":"Barquiel","year":"2022","journal-title":"Diabet. Med."},{"key":"ref_150","doi-asserted-by":"crossref","unstructured":"Gautam, N., de Souza, B.L., Abramowitz, J., Mour\u00e3o, D.M., Mirfakhraee, S., and Abreu, M. (2026). Continuous glucose monitoring versus self-monitoring of blood glucose in gestational diabetes: An updated systematic review and meta-analysis of randomized controlled trials. Acta Diabetol., 41591479.","DOI":"10.1007\/s00592-026-02644-1"},{"key":"ref_151","doi-asserted-by":"crossref","unstructured":"Ornoy, A., Becker, M., Weinstein-Fudim, L., and Ergaz, Z. (2021). Diabetes during Pregnancy: A Maternal Disease Complicating the Course of Pregnancy with Long-Term Deleterious Effects on the Offspring. A Clinical Review. Int. J. Mol. Sci., 22.","DOI":"10.3390\/ijms22062965"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/16\/14\/2145\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:57:25Z","timestamp":1783526245000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/16\/14\/2145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":151,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["diagnostics16142145"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics16142145","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]}}}