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we avoid it ...why? - tec
#1
why do we avoid oral hypoglycemics in gestational diabetes ?
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#2
crosses placenta,insulin doesnt
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#3
correct..

oral hypoglycemic agents are generally avoided in gestational diabetes M because of the risk of fetal hyperinsulinemia and hypoglycemia.
but recently glyburide are being used because its placental tranfer is minimal and fetal hypoglycemia is less of a risk.
still insulin remains the drug of choice for blodd glucose control in gestational diabetes M,,,
in patients whom diet and light excercise have failed to control blood glucose levels.
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