Gestational diabetes Should you use oral agents?
Gestational diabetes mellitus (GDM) is glucose intolerance with onset or first recognition during pregnancy. African American, Hispanic, and Native American women have a higher incidence of GDM, although studies indicate that socioeconomic status may be more strongly associated with GDM than race or ethnicity.
Key Points
Gestational diabetes mellitus (GDM) is glucose intolerance with onset or first recognition during pregnancy. African American, Hispanic, and Native American women have a higher incidence of GDM, although studies indicate that socioeconomic status may be more strongly associated with GDM than race or ethnicity.1,2
The gold standard of treatment for diabetes in pregnancy, whether preexisting or gestational, has been insulin for patients unable to achieve euglycemia with diet and exercise alone. The controversy surrounding the use of oral agents in pregnancy primarily is related to concerns about unknown effects on the developing fetus, but concerns also exist about the efficacy of these agents during pregnancy, especially in light of the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study, which demonstrated that even small amounts of maternal hyperglycemia are associated with adverse effects on the fetus.7
Identification and management of patients at increased risk for breast cancer
February 5th 2025With breast cancer being the most diagnosed invasive cancer in the United States, OB-GYN practitioners play a crucial role in identifying high-risk patients and guiding them through screening, prevention, and risk-reduction strategies.
Read More
AI helps improve detection of congenital heart defects on prenatal ultrasounds
January 31st 2025AI-assisted software improves clinicians' detection of congenital heart defects in prenatal ultrasounds, enhancing accuracy, confidence, and speed, according to a study presented at SMFM's Annual Pregnancy Meeting.
Read More
