Oral agents for the management of gestational diabetes.

Abstract:

:In gestational diabetes (GDM), achieving euglycemia through treatment decreases the risk of adverse outcomes associated with hyperglycemia. Treatment starts with diet and nutritional counseling; however, up to 50% of women will require pharmacologic therapy to meet glucose goals. Although insulin remains the only Federal Drug Administration-approved agent to treat GDM, oral hypoglycemic agents are an attractive and increasingly common alternative. Research suggests that glyburide and metformin can each effectively manage hyperglycemia in pregnancy. This review highlights research on efficacy, safety, and advantages versus disadvantages of each. We offer management and counseling strategies for clinicians caring for patients with GDM.

journal_name

Clin Obstet Gynecol

authors

Berggren EK,Boggess KA

doi

10.1097/GRF.0b013e3182a8e0a5

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

827-36

issue

4

eissn

0009-9201

issn

1532-5520

journal_volume

56

pub_type

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