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Sandy Ramos

Sandy Ramos

Gladys "Sandy" Ramos, M.D., is a maternal-fetal medicine specialist (perinatologist) and Clinical Professor of Obstetrics, Gynecology and Reproductive Sciences at UC San Diego Health.

Aug 18, 2026

speaker_0NARRATOR
0:11
Visit uctv.tv slash motherhood for more.
0:16
Thank you, Dr. Alperin and Sue, for the invitation to speak today.
0:19
I'm Sandy Ramos.
0:20
I am a clinical professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences, and I am also the director of the Diabetes and Pregnancy Program.
0:29
Just one disclosure that I do receive research from Dexcom in the form of CGM devices.
0:36
Let me start off by just framing the question, why is insulin management so difficult during pregnancies complicated by diabetes? Well, it's super important to have optimal glycemic control, which is much tighter than outside of pregnancy.
0:51
And this is important because we know that hyperglycemia is associated with adverse maternal and fetal complications.

26 MINS LATER

speaker_6AUDIENCE
26:40
Regarding the CGMs but also pumps, Dr. Ramos, can you talk a little bit about insurance coverage for those both in California and if you know other places in the United States and how that might impact equity with these devices?
0:23
Thank you, Dr. Alperin and Sue, for the invitation to speak today.
0:27
I'm Sandy Ramos.
0:28
I am a clinical professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences, and I am also the director of the Diabetes and Pregnancy Program.
0:37
Just one disclosure that I do receive research from Dexcom in the form of CGM devices.
0:44
Let me start off by just framing the question, why is insulin management so difficult during pregnancies complicated by diabetes? Well, it's super important to have optimal glycemic control, which is much tighter than outside of pregnancy.
0:59
And this is important because we know that hyperglycemia is associated with adverse maternal and fetal complications.

26 MINS LATER

speaker_5UNKNOWN
26:48
Regarding the CGMs but also pumps, Dr. Ramos, can you talk a little bit about insurance coverage for those both in California and if you know other places in the United States and how that might impact equity with these devices?
27:01
Absolutely.
speaker_0NARRATOR
0:11
Visit uctv.tv slash motherhood for more.
0:16
Thank you, Dr. Alperin and Sue, for the invitation to speak today.
0:19
I'm Sandy Ramos.
0:20
I am a clinical professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences, and I am also the director of the Diabetes and Pregnancy Program.
0:29
Just one disclosure that I do receive research from Dexcom in the form of CGM devices.
0:36
Let me start off by just framing the question, why is insulin management so difficult during pregnancies complicated by diabetes? Well, it's super important to have optimal glycemic control, which is much tighter than outside of pregnancy.
0:51
And this is important because we know that hyperglycemia is associated with adverse maternal and fetal complications.

26 MINS LATER

speaker_6AUDIENCE
26:40
Regarding the CGMs but also pumps, Dr. Ramos, can you talk a little bit about insurance coverage for those both in California and if you know other places in the United States and how that might impact equity with these devices?

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