Diabetic Drugs and Pregnancy Flashcards
Which Anti-diabetic causes increase in weight
- Pioglitazone
- Sulphonylureas
Which Anti-diabetic causes reduction in weight
- GLP-1
- SGLT-2i
Which Anti-diabetic doesn’t affect weight
- Metformin
- DPP-4i
What medications to stop when pregnant with diabetes
- all anti-diabetic
- statins
- ACEi
- ARBs
What medications to continue when pregnant with diabetes
- metformin
- Insulin
What are the target HBA1c levels before pregnancy pregnancy and what medication do you need to start taking
- <48mmol/L
- take folic acid 5
What is the 1st line long acting insulin in diabetes and pregnancy
Humulin I
When should you stop Gestational diabetes treatment
at birth
If Gestational diabetes and fasting BG is <7mmol/L
1st Line:
Lifestyle
2nd Line:
Metformin
3rd Line:
Insulin
If Gestational diabetes and fasting BG is >7mmol/L
1st Line:
Lifestyle + Metformin ± Insulin
If Gestational diabetes and fasting BG is between 6 to 6.9 mmol/L with complications
1st Line:
Metformin ± Insulin