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Expert Opinion / Cases · January 29, 2018

DM Management in Pregnancy

 Anika Anam MD
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  • Chandrakant Madgaonkar

    Feb 22, 2018

    The current experience is that the short acting insulin analogs lispro and aspart are safe; however, long acting insulin analogs can also be added and dosage titrated to prevent hypoglycemia. Nutritional management is the cornerstone of treatment; insulin, glyburide and metformin can be used to intensify treatment. Neonatal hypoglycemia and potential fetal harm needs to be avoided. 

  • Anica Badanjak

    Feb 01, 2019

    Insulin analog detemir is still insulin of choice as basal insulin in management DM in pregnancy

  • Rajeev Gupta

    Feb 22, 2019

    Isapgol husk 5gm three times a day, dissolved with a glass of water before meals, will help her in many ways, like control of in the fluctuations in blood sugar, relief in constipation etc. It is shown to reduce HbA1C by 0.5%. If she can tolerate it, it may help her.

  • Arati shahade

    Oct 29, 2019

    She requires pre pregnancy counselling. allow her weight and BSL to settle down before planned pregnancy. CGMS and insulin pump are good idea for management . Judicious dietary advise depending  on post preandial variation is to be sought. 
    It would be ideal to lose weight either by medical or surgical management. Intra gastric balloon can be an option if we are looking at a small to modest weight loss. 

  • Sandeep Julka

    Nov 29, 2019

    How about using insulin pump for her. She will soon get thw steroids for fetal lung maturation too...

  • bendib samir

    May 02, 2020

    Nutritional management +basal analog insulin+pre prandial insulin lispro or humalog with postprandial glycaemia<=120mg,no indication to oad.

  • Dec 24, 2024

    Pending Moderator approval.
    Delete

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