Advances to Treat Diabetes in Pregnancy
The diabetes that arises during pregnancy is called gestational diabetes and it usually goes away after the baby is born. Gestational diabetes is known to rise the risks of large birth weight, birth complications, and later development of type 2 diabetes in both the mother and the child. For ideal control of diabetes in pregnancy, experts advocate the obstetricians refer their patients early in pregnancy to a clinic specializing in diabetes. Excellent control of blood glucose is associated with decrease in maternal and neonatal complications. The most common oral hypoglycaemic agents used in pregnancy include metformin and glyburide, but use of gluburide is becoming more prevalent with the increasing number of women with diabetes. Women should receive counselling for diabetes management during labor, deliver, and the immediate postpartum period. Glyburide and metformin are secreted into breast milk and should not be used during lactation in women with type 2 diabetes mellitus. Instead, insulin should be continued. Breastfeeding causes a decrease in insulin requirement due to lactose in breast milk.