Evidence map›Paper›PMID 41591479›Full record

SynthesisActa diabetologica2026

Continuous glucose monitoring versus self-monitoring of blood glucose in gestational diabetes: an updated systematic review and meta-analysis of randomized controlled trials.

Naveen Gautam, Bruno Lins de Souza, Jessica Abramowitz, Denise Machado Mourão, Sasan Mirfakhraee, Marconi Abreu

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in Acta diabetologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Naveen Gautam *Institute of Medicine, Tribhuvan University, PO Box 1524, Kathmandu, Central Region, Nepal.ORCID http://orcid.org/0000-0001-6291-333X
Bruno Lins de Souza *Federal University of Ceará, R. Alexandre Baraúna 949, Rodolfo Teófilo, Fortaleza, 60430-160, Brazil.ORCID http://orcid.org/0009-0002-3188-6900
Jessica AbramowitzDepartment of Internal Medicine, UT Southwestern Medical Center, 2001 Inwood Road, 8th Floor, Dallas, TX, 75390-9030, USA.ORCID http://orcid.org/0000-0002-7265-6899
Denise Machado MourãoFederal University of Southern Bahia, Av. Getúlio Vargas 1732A, Monte Castelo, Teixeira de Freitas, 45996-108, Brazil.ORCID http://orcid.org/0000-0002-0391-7207
Sasan MirfakhraeeDepartment of Internal Medicine, UT Southwestern Medical Center, 2001 Inwood Road, 8th Floor, Dallas, TX, 75390-9030, USA.
Marconi AbreuDepartment of Internal Medicine, UT Southwestern Medical Center, 2001 Inwood Road, 8th Floor, Dallas, TX, 75390-9030, USA. marconi.abreu@utsouthwestern.edu.ORCID http://orcid.org/0000-0001-5996-0661

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsContinuous glucose monitoring (CGM) benefits pregnant women with type 1 or type 2 diabetes, but its role in gestational diabetes (GDM) remains uncertain. We aimed to compare the effects of CGM with self-monitoring of blood glucose (SMBG) on glycemic, maternal, and neonatal outcomes in women with GDM.

methodsWe compared CGM with SMBG in women with GDM through a systematic search across randomized controlled trials (RCTs) in PubMed, Cochrane Library, Embase, and Scopus. We evaluated glycemic, maternal and neonatal outcomes using a random-effects model.

resultsEleven RCTs (n = 1225) met inclusion criteria. The use of CGM increased the likelihood of achieving appropriate maternal weight gain (RR 1.37, 95% CI 1.02 to 1.82; I

conclusionsIn women with GDM, the use of CGM improved the likelihood of appropriate maternal weight gain and lowered neonatal birth weight compared with SMBG, but it did not improve overall glycemic control or other maternal and fetal outcomes.

trial registrationPROSPERO CRD420251044960 (registered 2025).

Indexed as

Blood GlucoseBlood Glucose Self-MonitoringDiabetes, GestationalContinuous Glucose MonitoringFemaleHumansInfant, NewbornPregnancyPregnancy OutcomeRandomized Controlled Trials as TopicBlood GlucoseContinuous glucose monitoringGestational diabetes mellitusMeta-analysisPregnancySelf-monitoring of blood glucoseTime in range

Identifiers

PMID41591479

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.