Insulin and other treatment alternatives in gestational diabetes mellitus

被引:0
|
作者
Langer, O [1 ]
机构
[1] Univ Texas, Hlth Sci Ctr, Dept Obstet & Gynecol, San Antonio, TX 78284 USA
来源
PRENATAL AND NEONATAL MEDICINE | 1998年 / 3卷 / 06期
关键词
oral hypoglycemic agents; gestational diabetes; insulin therapy; fetal ultrasonography;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Insulin has become the gold standard of gestational diabetes treatment when diet therapy fails to achieve targeted levels of glycemic control. Although numerous studies have addressed the issue of insulin and diet therapies, to date there is a lack of consensus concerning which patients should be treated with insulin and the method for blood glucose evaluation. This article reviews existing literature and published consensus statements regarding management of gestational diabetes. Criteria for insulin initiation such as fasting plasma glucose level and fetal parameters (abdominal circumference) are also examined. The historic and current data regarding oral hypoglycemic agents as alternatives for insulin therapy are addressed.
引用
收藏
页码:542 / 549
页数:8
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