Re: quitting Glucophage????!!!
From: Pat (anonymous@obgyn.net)
Wed, 24 Jul 2002 12:38:11 -0500 (CDT)
Congratulations on your pregnancy !!
I agree here. But do some investigating yourself, like drug side
effects. The problem is, there has not been enough research to
guarantee no problems with the baby. But, logic would tell me that
haveing your blood sugars stable before and during pregnancy is a very
high priority, and thus, I agree with your OB.
You might also check with some of the centers that do research, such as:
http://www.joslin.harvard.edu/index.shtml and see if they have any
recommendations. Or, consult with a local diabetes center, and see what
they are recommending.
This article is very helpful for current recommendations for GDM. Assume
you have GDM, as you are IR and T2Diabetic.
http://care.diabetesjournals.org/cgi/content/full/25/suppl_1/s94
ADA Clinical Practice Guidelines might be helpful also:
http://care.diabetesjournals.org/content/vol25/suppl_1/
--
Pat Sonnenstuhl, ARNP, CNM, MS
PCOS Support
Editorial Advisor PCOS Pavilion
http://www.obgyn.net/pcos/pcos.asp
http://www.midwivesofwa.org/pcos.htm
http://www.midwivesofwa.org//pcosarticles.htm
ThAt Tue, 23 Jul 2002, anonymous@obgyn.net wrote:
>
>Hi Steph,
>
>Many women do stay on glucophage for the duration of their pregnancy.
>However there are not clear guidelines to stay on or not to stay on.
>Glucophage is used with diabetics during pregnancy. Given the you are a
>type II diabetic already, I would consider that excellent control of the
>diabetes during pregnancy is essential for both your and your baby's
>health, and the fact that your Obgyne is supportive would mean that you
>should probably stay on it. Of course close attention to diet is also
>required. The only recommendation is that you take folic acid
>supplement (if you are not already).
>
>Congratulations on your pregnancy and best wishes.
>
>Sally
>
> At Tue, 23 Jul 2002, Steph wrote:
>>
>>I just found out that I am expecting and the doctor believes I am about
>>4 to 6 weeks along but we aren't quite sure yet. I have been taking
>>glucophage for about 1 1/2 years and am confused about it. My
>>endocrinologist suggested I go off of it but wouldn't give any reason.
>>My Obgyn said I could stay on it throughout the pregnancy and said he
>>has had other patients who have done so. Currently I am still taking
>>1500 mg per day. Has anyone else taken glucophage throughout their
>>pregnancy? I am a Type II diabetic and insulin resistant. I would love
>>to hear your story. Email me at s_mestas@hotmail.com
>>
>>At Sat, 30 Mar 2002, Misty wrote:
>>>
>>>My regular endocrinologist tried to tell me the same thing, to stop as
>>>soon as I was pg, while that has not happened yet, I was ver worried
>>>about it so when I started seeing an RE I asked her, she told me that I
>>>should continue taking it until I was at least 12 weeks to reduce the
>>>chances of miscarriage and possibley through out the entire pg to
>>>prevent gestational diabetes. I have also read numerous studies that it
>>>reduces the chances of m/c from a very high percent of 45 down to about
>>>9 which is much closer to average. The only thing extra you need to do
>>>is take extra folic acid, even more then the amount in a prenatal since
>>>the glucophage depletes it from the body. If I were you I would
>>>consider finding a dr that will continue you on the medication.
>>>
>>>Good luck and congradulations.
>>>>Nancyleigh
>>>>
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