Clinical And Biochemical Correlates Of Continuous GlucoseMonitoring-derived Glycemic Metrics In Children And Adults WithType 1 Diabetes Mellitus (T1DM): A Pilot ObservationalStudy FromLahore, Pakistan

Background

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Objectives

Pre-existing diabetes is a well-established risk factor for adverse fetal outcomes,including congenital anomalies such as neural tube defects. Preconception and periconception folic acidsupplementation represent an evidence-based strategy for reducing these risks.The objective of this study was to enhance awareness among both the general population and healthcare practitionersis essential to ensure the timely and appropriate use of folic acid for preventive purposes.Methodology: This study aimed to assess the level of awareness, understanding, and utilization of folic acid amongpregnant women with diabetes attending antenatal care, as well as its integration into routine clinical practice.Results: Of the 50 participants, 14% were aware of folic acid supplements, 8% were familiar with the impact of folicacid supplements on birth defects. 2% of participants reported that their doctors had discussed the effects of diabeteson pregnancy with them. 46% of respondents reported currently taking folic acid supplements. 92% of participantswere unaware of the role of folic acid in the prevention of neural tube defects in pregnancy with diabetes and the factthat diabetes increases the risk of neural tube defects in babies.Conclusion: The findings underscore a significant need to strengthen awareness and educational initiatives targetingboth the public and healthcare professionals, in order to optimize folic acid use and reduce the risk of adversepregnancy outcomes associated with diabetes