Management of Diabetes in Pregnancy

3.2.14.0 Sec­tion 14

Women with preex­ist­ing di­a­betes are now rec­om­mend­ed to have their care man­aged in a mul­ti­dis­ci­plinary clin­ic to im­prove di­a­betes and preg­nan­cy out­comes.

Greater em­pha­sis has been placed on the use of in­sulin as the pre­ferred med­i­ca­tion for treat­ing hy­per­glycemia in ges­ta­tion­al di­a­betes mel­li­tus as it does not cross the pla­cen­ta to a mea­sur­able ex­tent and how met­formin and gly­buride should not be used as first­ line agents as both cross the pla­cen­ta to the fetus.