first line therapy diabetes for pregnancy - For example the American Diabetes Association data penderita diabetes di jawa timur considers insulin to be firstline therapy for women with GDM but does not favor metformin or glyburide if an alternative is required 56 ACOG recommends insulin as firstline therapy with metformin or rarely glibenclamide to be used as a reasonable alternative 69 and the Society for Maternal Management of preexisting diabetes in pregnancy A Review Gestational diabetes should be treated with nutrition therapy If medications are needed insulin and oral medications are equally effective and appropriate for firstline therapy Gestational diabetes mellitus Glucose management maternal UpToDate Pharmacologic Treatment ACOG recommends that insulin be the preferred therapy if glycemic control is not obtained with nonpharmacologic treatment Substantial number of patients started on oral therapy will require insulin during pregnancy Starting insulin dose 07 to 10 unitskg daily During pregnancy continuous glucose monitor use can improve glycemic control and neonatal outcomes for women with type 1 diabetes Insulin is firstline therapy for all women with preexisting diabetes injections and insulin pump therapy are both effective approaches Treatment for gestational diabetes GDM aims to manage blood glucose and reach target levels that are the same as those of pregnant women who dont have GDM Your treatment will include an eating plan and scheduled physical activity and it may also include checking your blood glucose level and taking insulin 15 Management of Diabetes in Pregnancy Metformin and glyburide should not be used as firstline agents as both cross the placenta to the fetus Insulin is the preferred treatment for type 2 severe symptoms of diabetes diabetes in pregnancy An RCT of metformin added to insulin for the treatment of type 2 diabetes found less maternal weight gain and fewer cesarean births 14 Management of Diabetes in Pregnancy By contrast insulin has long been considered the first line medical treatment for gestational diabetes in pregnant people whose sugar levels cant be managed with lifestyle and diet changes A Review of the Pathophysiology and Management of Diabetes in Pregnancy PDF ACOG Releases Guideline on Gestational Diabetes AAFP If medications are needed insulin and oral medications are equally effective and appropriate for firstline therapy Women with gestational diabetes should be screened again at six to 12 ACOG Releases Guideline on Gestational Diabetes AAFP 141 Starting at puberty and continuing in all women with diabetes and reproductive potential preconception counseling should be incorporated into routine diabetes careA 142 Family planning should be discussed and effective contraception with consideration of longacting reversible contraception should be prescribed and used until a womans treatment regimen and A1C are optimized for How You Can Manage Gestational Diabetes During Pregnancy Healthline INTRODUCTION Treatment of gestational diabetes mellitus GDM can improve pregnancy outcome Many patients can achieve target glucose levels with nutritional therapy and moderate exercise alone but up to 30 percent will require pharmacotherapy Even patients with mildly elevated glucose levels who do not meet standard criteria for GDM may have more favorable pregnancy outcomes if treated How to Treat Gestational Diabetes ADA American Diabetes Association Updated ACOG Guidance on Gestational antibiotik untuk luka diabetes ciprofloxacin Diabetes The ObG Project
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