Metformin and pregnancy

Metformin use in pregnancy Dr. Hamid Sajjad, internal medicine specialist
Some women with diabetes
that metformin to
take diabetes control,
and are pregnant
they ask questions
Whether the use of metformin in pregnancy,
is it allowed
Also, many women
who has a common problem
polycystic ovaries,
and metformin drug,
used for treatment
and in trying to get pregnant,
or are pregnant,
This question has also arisen for them.
whether to take medicine,
Continue during pregnancy?
Some pregnant women
who is diagnosed with gestational diabetes,
and have not had diabetes before,
they realize
The doctor has prescribed metformin for them.
and have asked
Was the doctor's prescription correct?
For most doctors,
This creates confusion.
that as far as we remember,
taking oral diabetes medications,
Not allowed in pregnancy.
And why in some versions,
For pregnant women,
Is metformin prescribed?
I am Dr. Hamid Sajjad.
Internist.
In this video I am going to
Go to the reliable UpToDate website.
which is the authoritative reference of all doctors in the world,
To understand the opinion of the researchers of this site,
What about this?
First, let me tell you about this site.
The most reliable research is reviewed in it.
and the best conclusions,
available to working doctors,
which requires practical information,
and are valid.
UpToDate believes,
Insulin is the first line of treatment.
It is for pregnant women with diabetes.
and from metformin,
As an alternative treatment,
In cases where
There is a problem with insulin use.
is used
These problems are due to various reasons.
For example, some patients
They do not accept insulin.
This is a problem in society.
and in the future,
I will make a video about this.
Patients without a specific reason,
They refuse to accept insulin.
prefer,
take more pills
But do not use insulin.
Sometimes the patient accepts insulin,
But he does not know its correct use.
In terms of treatment effect,
Both methods are effective.
This article that in gestational diabetes,
Insulin is the first line of treatment.
and metformin as the second line of treatment,
and is an auxiliary drug,
All researchers agree.
But besides this,
various instructions,
and many research institutions,
have certain opinions,
It is useful to know them.
For example, some believe
with insulin,
More sugar reduction has been seen.
On the other hand, some women
treated with metformin,
have not had proper sugar control,
And there was a need, along with metformin,
Insulin should also be used.
Association of Gynecologists,
and the American Diabetes Association,
both insulin,
The best treatment for gestational diabetes.
have introduced
and have explicitly mentioned,
that in some cases,
Metformin can also be used.
But the Food and Drug Administration in the United States,
Or FDA,
taking metformin,
It is not allowed during pregnancy.
At the same time, the American Diabetes Association
limitations,
in the use of metformin,
caused in pregnancy.
in such a way that
Women with a history of high blood pressure
before pregnancy,
Women with high blood pressure
during pregnancy,
Women at risk of low birth weight
taking metformin,
It is not allowed for them.
Researchers believe
Insulin should be the first line of treatment.
Because,
Sugar can be better controlled.
and by adjusting the insulin dose,
had more control over sugar.
American Society of Gynecologists
He beleives,
Insulin is the first line of treatment.
It is for pregnant women.
that their diabetes
before the twentieth week,
has been diagnosed.
And a person who does not fast sugar,
more than 110,
sugar an hour after a meal,
more than 140,
and overweight
be more than 12 kilos,
For this reason, some people believe
In the case of,
Only fasting sugar is a little high.
It is better to use metformin.
It is worth noting that,
Still a long-term effect
Oral medicine for diabetes is not known.
Oral medicine means
is that in addition to metformin,
The drug glyburide is also used.
Regarding gestational diabetes,
It is better to treat it a little.
and the goal of treatment.
In conditions of fasting sugar above 95,
and sugar one hour after food,
130 to 140,
and two-hour sugar,
be more than 120,
Treatment should be done.
This is how it works.
Principles of nutrition for pregnant women
It is taught.
and if needed
A nutritionist is also used.
If with a week of proper nutrition,
The problem was not resolved.
Medicine should be used in the end.
ladies who
are taking insulin,
fasting sugar is recommended
and sugar for an hour or two,
Check after eating.
The goal of treatment is to
that the fasting sugar is less than 95,
One-hour sugar less than 130,
to be 140,