Gestational Diabetes Mellitus Treatment Guidelines

Between 10 and 20 of women with gestational diabetes need insulin to reach their blood sugar goals.

Gestational diabetes mellitus treatment guidelines. However debate continues to surround the diagnosis and treatment of gdm despite several recent large scale studies addressing these issues. 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. Betamethasone for induction of foetal lung maturity before 34 0 weeks of gestation. Researchers are studying the safety of the diabetes pills metformin and glyburide during pregnancy but more long term studies are needed.

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 treatment always includes special meal plans and scheduled physical activity and it may also include daily blood glucose testing and insulin injections. You can lower your risk by reaching a healthy body weight after delivery. Blood glucose levels rise so must be strictly indicated.

Gestational diabetes mellitus gdm is one of the most common medical complications of pregnancy. Gestational diabetes mellitus in the twenty first century. The recommendations are based on an extensive review of the clinical diabetes literature. However about 50 of women with gestational diabetes go on to develop type 2 diabetes.

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. The 2020 standards of medical care in diabetes includes all of ada s current clinical practice recommendations and is intended to provide clinicians patients researchers payers and others with the components of diabetes care general treatment goals and tools to evaluate the quality of care. 1 8 9 nevertheless there was vigorous debate about the value of detecting and treating gdm that persisted into the twenty first century. 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.

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. Insulin will not harm your baby and is usually the first choice of diabetes medicine for gestational diabetes. Talk with your health care professional about what treatment is right for you.