Grossesse et diabète de type 1 : pompe à insuline versus traitement intensifié conventionnel

Discussion and conclusion. - Fetal prognosis is not overall significantly different with insulin pump compared with intensified conventional therapy. The initation of insulin pump therapy should not be systematic. Instead, the benefits risks ratio must be assesssed resulting in a tailored prescription according to individual needs. This therapeutic choice should be discussed before conception, as planned pregnancy is a main pronostic factor. Diabetes duration and complications remain key factors for the prognosis.