Self-Monitoring of Blood Glucose for Gestational Diabetes Mellitus: A Nationwide Survey of Perspectives and Clinical Practices among Clinicians in India

Self-monitoring of blood glucose (SMBG) is an essential part of gestational diabetes mellitus (GDM)management. However, there is still a lack of adherence to SMBG in India, and it is unclear how actual clinician practices affectits uptake. This study evaluated the knowledge, attitudes, and practices of gynecologists and endocrinologists/diabetologistsin India towards SMBG. Methods: A cross-sectional, digital knowledge, attitude, and practice (KAP) survey was conductedfrom May to July 2025 among 588 clinicians (311 endocrinologists/diabetologists and 277 gynecologists). Two validated,structured questionnaires captured awareness of guideline recommendations, attitudes toward SMBG, perceived patientbarriers, and routine clinical practices. Responses were summarized using descriptive statistics. Results: A strong adherenceto national guidelines was shown by both gynecologists and endocrinologists/diabetologists. Gynecologists identified patientnoncompliance and lack of motivation, psychological resistance, and discomfort from repeated finger pricks as major obstacles,while endocrinologists emphasized on cost associated with glucose monitoring devices and strips, lack of acceptance, andlimited knowledge on SMBG techniques. SMBG was widely recommended for insulin-treated GDM, but attitudes toward itsrole in lifestyle-controlled GDM varied. Although postpartum follow-up and referral patterns remained uneven, the majorityof clinicians concurred that SMBG supports timely therapy decisions. Conclusion: Initiating SMBG at the level of gynecologistsitself promotes earlier glycemic stabilization, which is essential for improving perinatal outcomes and reducing the burden offuture diabetes and metabolic complications.