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Question: From Danville, Kentucky, USA: What are the present and future ramifications of refusing insulin with gestational diabetes? Answer: Gestational diabetes can be managed in three ways. Frequently, an adjustment in diet is adequate to bring glucose control into the normal range. If diet alone fails, then medication may be indicated. This could either be an oral medication such as glyburide or insulin injections or even a combination of the two. I usually start with glyburide. If that is not adequate, then I will add insulin. If your blood sugar cannot be controlled, then you run the risk of excessive fetal growth, hypoglycemia in the newborn and possible poor heart function in the newborn (cardiomyopathy). The risk is relative and increases with higher levels of hyperglycemia in the mother. OWJ DTQ-20081014195428 Original posting 20 Oct 2008 Posted to Gestational Diabetes and Insulin

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Wed Oct 22 18:14:48 2008
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