Gestational Diabetes Mellitus Treatment Guidelines
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Gestational diabetes mellitus treatment guidelines. Blood glucose levels rise so must be strictly indicated. 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. Treatment for gestational diabetes aims to keep blood glucose levels equal to those of pregnant women who don t have gestational diabetes. 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.
The treatment always includes special meal plans and scheduled physical activity and it may also include daily blood glucose testing and insulin injections. The recommendations are based on an extensive review of the clinical diabetes literature. Gestational diabetes mellitus gdm is one of the most common medical complications of pregnancy. Researchers are studying the safety of the diabetes pills metformin and glyburide during pregnancy but more long term studies are needed.
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. Between 10 and 20 of women with gestational diabetes need insulin to reach their blood sugar goals. 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. However about 50 of women with gestational diabetes go on to develop type 2 diabetes. 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. 1 8 9 nevertheless there was vigorous debate about the value of detecting and treating gdm that persisted into the twenty first century.
Gestational diabetes mellitus in the twenty first century. 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.