Gestational Diabetes Mellitus Treatment Guidelines
Insulin will not harm your baby and is usually the first choice of diabetes medicine for gestational diabetes.
Gestational diabetes mellitus treatment guidelines. Gestational diabetes mellitus gdm is a condition of glucose intolerance with onset or first recognition in pregnancy that is not clearly overt diabetes 1 2 normal pregnancy is characterized by. Between 10 and 20 of women with gestational diabetes need insulin to reach their blood sugar goals. Blood glucose levels rise so must be strictly indicated. The purposes of this document are to provide a brief overview of the understanding of gdm review management guidelines that have been validated by appropriately conducted clinical research and identify gaps in current knowledge toward which future research can be directed.
1 8 9 nevertheless there was vigorous debate about the value of detecting and treating gdm that persisted into the twenty first century. Adjust the insulin dose individually or initiate insulin treatment over a blood glucose level 200 mg dl 11 1 mmol l or if there are hyperglycaemic symptoms. It has been well documented and generally accepted that women found to have gdm are at high risk for development of type 2 diabetes mellitus t2dm in subsequent years. However debate continues to surround the diagnosis and treatment of gdm despite several recent large scale studies addressing these issues.
Betamethasone for induction of foetal lung maturity before 34 0 weeks of gestation. Visit your doctor to have your blood sugar tested 6 to 12 weeks after your baby is born and then every 1 to 3 years to make sure your levels are on target. 10 one issue was whether the. Some doctors prescribe an oral medication to control blood sugar while others believe more research is needed to confirm that oral drugs are as safe and as effective as injectable insulin to control gestational diabetes.
The recommendations are based on an extensive review of the clinical diabetes literature. Gestational diabetes mellitus in the twenty first century. The treatment always includes special meal plans and scheduled physical activity and it may also include daily blood glucose testing and insulin injections. However about 50 of women with gestational diabetes go on to develop type 2 diabetes.
Talk with your health care professional about what treatment is right for you. Treatment for gestational diabetes aims to keep blood glucose levels equal to those of pregnant women who don t have gestational diabetes. Researchers are studying the safety of the diabetes pills metformin and glyburide during pregnancy but more long term studies are needed.