Are oral hypoglycemic agents contraindicated in pregnancy?

Historically, reports of potential fetal teratogenicity and hypoglycemic effects on the fetus contraindicated the use of oral hypoglycemic agents in pregnancies complicated with either type II diabetes mellitus (DM) or gestational diabetes mellitus (GDM).

Can you be pregnant with hypoglycemia?

Hypoglycemia during pregnancy is fairly common. Women with diabetes are much more likely than women without diabetes to experience hypoglycemia. In one study, 23 percent of women with type 1 diabetes had a severe hypoglycemic attack at least once during pregnancy, and many had several.

What is the most commonly recommended method for initial control of hyperglycemia in pregnancy?

The UK NICE now recommends women with GDM to be advised to eat a “healthy diet” during pregnancy and emphasize that foods with a low glycemic index should replace those with a high glycemic index and that women should walk 30 minutes a day to improve glucose control, though there is limited evidence of the …

Can a person with diabetes be hypoglycemic during pregnancy?

This is the most common reason for hypoglycemia during pregnancy. Hypoglycemia can occur in pregnant women without diabetes, but it’s much more likely to be seen in women taking insulin. Each of the following types of diabetes puts you at a higher risk for hypoglycemia episodes:

What are the American Diabetes Association ( ADA ) standards?

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care.

Can a woman with Type 1 diabetes have a hypoglycemic attack?

of women with type 1 diabetes had a severe hypoglycemic attack at least once during pregnancy, and many had several. A severe hypoglycemic attack is when blood sugar dips so dangerously low that you risk losing consciousness. In an older study, some 19 to 44 percent of pregnant women with diabetes of all kinds experienced hypoglycemia.

How to manage gestational diabetes mellitus in pregnancy?

14.7 Fasting and postprandial self-monitoring of blood glucose are recommended in both gestational diabetes mellitus and preexisting diabetes in pregnancy to achieve optimal glucose levels.

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