Insulin pump not necessarily better for glucose control in pregnancy

More research needed to use pumps optimally

Insulin pumps may be less effective for glycaemic control in pregnant women with type 1 diabetes (T1D) than multiple daily injections, new research suggests.

Women who used an insulin pump had worse glycaemia and spent less time at target than those who used multiple daily injections, Dr Denice Feig of the University of Toronto and her colleagues found. Gestational hypertension, neonatal hypoglycaemia and extended neonatal intensive-care unit stays were also more frequent in pump users.

"Using the insulin pump did not necessarily give us good outcomes,