Public - Diabetes in Pregnancy

Diabetes in Pregnancy

Author: Elisha L. Brownfield, MD
Editorial changes - 2009-10-30
Author information and module status



		Prevention
		Screening
		Diagnosis
		Consultation for Diagnosis
		Hospitalization
		Non-drug Therapy
		Drug Therapy
		Patient Education
		Consultation for Management
		Follow-up

	Tables
	References
	Glossary
	What's New
	Patient Information
	Additional Resources
	Tools

Drug Therapy
Use insulin in patients with gestational diabetes to achieve optimal glycemic control. Switch all women with pregestational diabetes on oral diabetic treatments to insulin before conception. Stop ACE inhibitor therapy and review the patient's other medications before conception.
Drug Treatment for Diabetes in Pregnancy (table)

Use insulin in patients with gestational diabetes to achieve optimal glycemic control.
Adjust insulin doses to achieve fasting whole-blood glucose levels of 70 to 100 mg/dL and 2-hour postprandial levels of <140 mg/dL. See table Drug Treatment for Diabetes in Pregnancy.
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Switch all women with pregestational diabetes on oral diabetic treatments to insulin before conception.
Stop all oral diabetic medication 3 months before conception. Use insulin in all pregnancies requiring medication for glucose control. See table Drug Treatment for Diabetes in Pregnancy.
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Stop ACE inhibitor therapy and review the patient's other medications before conception.
Do the following before conception: Stop all ACE inhibitors and angiotensin-receptor blockers Stop cholesterol-lowering drugs Stop aspirin therapy Review other medications and stop potential teratogens See table Drugs To Avoid in Pregnancy.
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FAQs

Elisha L. Brownfield, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott.

The information included herein should never be used as a substitute for clinical judgment and does not represent an official position of ACP. Because all PIER modules are updated regularly, printed web pages or PDFs may rapidly become obsolete. Therefore, PIER users should compare the date of the last update on the website with any printout to ensure that the information being referred to is the most current available.

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