Management of Type 2 Diabetes in Pregnancy


Pregnant women with type 2 diabetes have an increased risk of delivering a large baby, a baby who has medical problems including low blood sugar at birth, and/or a baby that may be injured during birth due to his/her size. The best way to reduce these risks is to treat your diabetes so that you have normal blood sugar levels. The American Diabetes Association recommends that type 2 diabetes in pregnancy be treated by following diet instructions, increasing your activity (exercise) level, and keeping your blood sugar levels within recommended guidelines. 

The only medicine that is approved by the Federal Drug Administration (FDA) to treat type 2 diabetes in pregnancy is insulin. Metformin is a pill approved by the Food and Drug Administration (FDA) to treat type 2 diabetes. It is the treatment of choice for non-pregnant people with type 2 diabetes. There are few scientific studies testing the use of metformin for the treatment of type 2 diabetes in pregnancy.

The purpose of this research study is to determine the safety and effectiveness of metformin added to insulin to treat type 2 diabetes in pregnant women. 

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