Table of Contents
Which medication is preferred for management of diabetes during pregnancy?
Insulin remains the drug of choice in majority of women with gestational diabetes mellitus (GDM).
What is the best recommendation for pharmacological treatment of diabetes in pregnancy?
Recommendations. 14.14 Insulin is the preferred medication for treating hyperglycemia in gestational diabetes mellitus.
How do you control GDM?
A healthy diet
- eat regularly – usually three meals a day – and avoid skipping meals.
- eat starchy and low glycaemic index (GI) foods that release sugar slowly – such as wholewheat pasta, brown rice, granary bread, all-bran cereals, pulses, beans, lentils, muesli and plain porridge.
What are the safe antidiabetic agents in pregnant patient?
Glyburide has been used for the treatment of gestational diabetes, and metformin has been used in women with PCOS who eventually became pregnant. Additional trials are needed to better define the benefits and risks of oral antidiabetic agents in pregnancy.
What are the complications of GDM?
If not treated, GDM can cause pregnancy complications, including:
- Cesarean birth (also called c-section).
- High blood pressure and preeclampsia.
- Macrosomia.
- Perinatal depression.
- Premature birth.
- Shoulder dystocia or other birth injuries (also called birth trauma).
- Stillbirth.
What should you do if you have diabetes during pregnancy?
Insulin also may be used and should follow the guidelines below. Insulin is the preferred agent for management of diabetes in pregnancy because of the lack of long-term safety data for noninsulin agents. The physiology of pregnancy requires frequent titration of insulin to match changing requirements.
What are the symptoms of diabetes mellitus during pregnancy?
Who to contact? Diabetes mellitus during pregnancy is a group of metabolic diseases characterized by hyperglycemia, which is the result of defects in insulin secretion, insulin action, or both.
What kind of insulin do you use during pregnancy?
During pregnancy. Insulin is the traditional drug of choice because it cannot cross the placenta and provides more predictable glucose control; it is used for types 1 and 2 diabetes and for some women with gestational diabetes. Human insulin is used if possible because it minimizes antibody formation.
Can a woman get gestational diabetes during pregnancy?
Gestational diabetes (diabetes that begins during pregnancy [ 2 ]) can develop in overweight, hyperinsulinemic, insulin -resistant women or in thin, relatively insulin -deficient women.