Re: Glyburide

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Wed Mar 23 23:30:54 2005


Glad to hear that ACOG is being logical. Never could work out why, if you had a diabetic under control you would need to induce or deliver before term. And, by the way, Lynn, the ADA have been recommending one hour postprandial glucose testing for a couple of years now - not two hours. Steve Raymond

Anna Meenan, MD wrote:

>Just got a new ACOG Practice Bulletin on pregestational diabetics and
>the recommendation for pregestational DM is allow to go to due date if
>well-controlled and otherwise healthy with good testing. I would assume
>that gestational diabetics could also be allowed to go to due date if
>well-controlled. My ACOG bulleting on gestational DM is at the office.
>
> Anna Meenan, MD
>
>At Wed, 23 Mar 2005, Lynn D. Montgomery, M.D. wrote:
>
>>Glen,
>>I use fasting and two hour postprandial values (and occasional Hgb A1C's for
>>those I don't believe). The delivery question is a good one and not clearly
>>answered as yet. I compromise between a diet controlled and an
>>insulin-dependent diabetic and deliver at 38 weeks. I also lean more toward
>>an insulin-dependent diabetic with regard to fetal surveillance and do
>>weekly BPP's from 34 weeks.
>>Lynn
>>
>>--
>>Lynn D. Montgomery, M.D.
>>Maternal-Fetal Medicine, OB/GYN
>>
>





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