08-21-2007, 05:25 PM
why do we avoid oral hypoglycemics in gestational diabetes ?
we avoid it ...why? - tec
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08-21-2007, 05:25 PM
why do we avoid oral hypoglycemics in gestational diabetes ?
08-21-2007, 05:26 PM
crosses placenta,insulin doesnt
08-21-2007, 05:40 PM
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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