Cochrane · systematic review · CD011069
Different methods and settings for glucose monitoring for gestational diabetes during pregnancy
Raman, P, Shepherd, E, Dowswell, T, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
42
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 26 · 61.9%Very low 13 · 31%Low 3 · 7.1%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Telemedicine versus standard care for glucose monitoring for gestational diabetes during pregnancy (effect on mother)
Population: women with gestational diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypertensive disorders of pregnancy including pre‐eclampsia, gestational hypertension and eclampsia Telemedicine vs standard care | RR 1.49 [0.69, 3.2] | 4 studies · 275 participants | Very low Downgraded: risk of bias, imprecision |
Caesarean section Telemedicine vs standard care | RR 1.05 [0.72, 1.53] | 5 studies · 478 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Development of type 2 diabetes Telemedicine vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Induction of labour Telemedicine vs standard care | RR 1.06 [0.63, 1.77] | 1 study · 47 participants | Very low Downgraded: risk of bias, imprecision |
Perineal trauma Telemedicine vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Postnatal depression Telemedicine vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Postnatal weight retention or return to pre‐pregnancy weight Telemedicine vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Telemedicine versus standard care for glucose monitoring in gestational diabetes during pregnancy (effect on child)
Population: women with gestational diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality (including stillbirth or neonatal death) Telemedicine vs standard care | no estimate extracted | 2 studies · 131 participants | Very low Downgraded: risk of bias, imprecision |
Large‐for‐gestational age Telemedicine vs standard care | RR 1.41 [0.76, 2.64] | 3 studies · 228 participants | Very low Downgraded: risk of bias, imprecision |
Death or serious morbidity composite Telemedicine vs standard care | RR 1.06 [0.68, 1.66] | 1 study · 57 participants | Very low Downgraded: risk of bias, imprecision |
Neurosensory disability Telemedicine vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Hypoglycaemia Telemedicine vs standard care | RR 1.14 [0.48, 2.72] | 3 studies · 198 participants | Very low Downgraded: risk of bias, imprecision |
Adiposity (e.g. BMI, skinfold thickness, fat mass) Telemedicine vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Type 2 diabetes Telemedicine vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Self‐monitoring versus periodic glucose monitoring for gestational diabetes during pregnancy (effect on mother)
Population: women with gestational diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypertensive disorders of pregnancy: pre‐eclampsia Self‐monitoring vs periodic glucose monitoring | RR 0.17 [0.01, 3.49] | 1 study · 58 participants | Very low Downgraded: risk of bias, imprecision |
Caesarean section Self‐monitoring vs periodic glucose monitoring | RR 1.18 [0.61, 2.27] | 2 studies · 400 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Development of type 2 diabetes Self‐monitoring vs periodic glucose monitoring | no estimate extracted | 0 studies · 0 participants | Ungraded |
Induction of labour Self‐monitoring vs periodic glucose monitoring | no estimate extracted | 0 studies · 0 participants | Ungraded |
Perineal trauma Self‐monitoring vs periodic glucose monitoring | no estimate extracted | 0 studies · 0 participants | Ungraded |
Postnatal depression Self‐monitoring vs periodic glucose monitoring | no estimate extracted | 0 studies · 0 participants | Ungraded |
Postnatal weight retention or return to pre‐pregnancy weight Self‐monitoring vs periodic glucose monitoring | no estimate extracted | 0 studies · 0 participants | Ungraded |
Self‐monitoring versus periodic for glucose monitoring for gestation diabetes during pregnancy (effect on child)
Population: women with gestational diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality (stillbirth or neonatal death) Self‐monitoring vs periodic | RR 1.54 [0.21, 11.24] | 2 studies · 400 participants | Very low Downgraded: risk of bias, imprecision |
Large‐for‐gestational age Self‐monitoring vs periodic | RR 0.82 [0.5, 1.37] | 2 studies · 400 participants | Low Downgraded: risk of bias, imprecision |
Death or serious morbidity composite Self‐monitoring vs periodic | no estimate extracted | 0 studies · 0 participants | Ungraded |
Neurosensory disability Self‐monitoring vs periodic | no estimate extracted | 0 studies · 0 participants | Ungraded |
Hypoglycaemia Self‐monitoring vs periodic | RR 0.64 [0.39, 1.06] | 2 studies · 391 participants | Low Downgraded: risk of bias, imprecision |
Adiposity (e.g. BMI, skinfold thickness, fat mass) Self‐monitoring vs periodic | no estimate extracted | 0 studies · 0 participants | Ungraded |
Type 2 diabetes Self‐monitoring vs periodic | no estimate extracted | 0 studies · 0 participants | Ungraded |
Continuous glucose monitoring system versus self‐monitoring of glucose for gestational diabetes during pregnancy (effect on mother)
Population: women with gestational diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypertensive disorders of pregnancy Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Caesarean section Continuous glucose monitoring system vs self‐monitoring of glucose | RR 0.91 [0.68, 1.2] | 2 studies · 179 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Development of type 2 diabetes Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Induction of labour Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Perineal trauma Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Postnatal depression Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Postnatal weight retention or return to pre‐pregnancy weight Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Continuous glucose monitoring system versus self‐monitoring of glucose for gestational diabetes during pregnancy (effect on child)
Population: women with gestational diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality (stillbirth or neonatal death) Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 2 studies · 179 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Large‐for‐gestational age Continuous glucose monitoring system vs self‐monitoring of glucose | RR 0.67 [0.43, 1.05] | 1 study · 106 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Death or serious morbidity composite Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Neurosensory disability Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Hypoglycaemia Continuous glucose monitoring system vs self‐monitoring of glucose | RR 0.79 [0.35, 1.78] | 2 studies · 179 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adiposity (e.g. BMI, skinfold thickness, fat mass) Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |
Type 2 diabetes Continuous glucose monitoring system vs self‐monitoring of glucose | no estimate extracted | 0 studies · 0 participants | Ungraded |