Gestational Diabetes management

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Munshi, S., Khandaker, S. (2014). Evaluation of metformin versus insulin and the management of gestational diabetes mellitus: a prospective comparative study. Int J Reprod Contracept Obstet Gynecol. 3(2) 357-361.


Providing medical nutrition therapy (MNT) to pregnant mothers with gestational diabetes can become more difficult when the mother is concerned about the well-being of her child. This study determined that there were equal outcomes of a desired birth and healthy child when comparing two groups of women with gestational diabetes, one with use of insulin and the other with use of metformin, and both with MNT. The differences were found in glycemic control in the mother, where 84% of those taking insulin had good glycemic control and only 72% of those using metformin had good glycemic control. Metformin crosses the placental barrier, whereas insulin does not, and when counseling clients the mother will have to make the decision to either potentially hinder the baby with metformin, or to take insulin herself.

-SB

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