A Comparison between Oral Hypoglycemic Agents and Insulin in treating Gestational Diabetes Mellitus regarding their Safety and Efficacy | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 21, Volume 73, Issue 4, October 2018, Page 6515-6521 PDF (460.93 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2018.15396 | ||||
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Authors | ||||
Nadin Anam A Mahabbat1; Jannah Abdulrahman Alkinani2; Hadeel Taha Yahya Alsaadi2; Ahdab Faisal Nono2; Sara Mutni Almutairi3; Narjes Hassan Alawami4; Shahad Abdullah Almagboul5; Ammar Osama Alaaddin5; Talha Kamal Shagdar6; Ziyad Abdullah Mandura6 | ||||
1King Saud Bin Abdulaziz University For Health Sciences | ||||
2Ibn Sina National College | ||||
3Al-Qassim University | ||||
4Jordan University of Science and Technology | ||||
5Umm Al-Qura University | ||||
6King Abdulaziz University | ||||
Abstract | ||||
Background: Gestational Diabetes Mellitus (GDM) is one of the most common comorbidities of pregnancy. It can cause a various complications for both mother, and fetus. Therefore, many studies have been done to evaluate different management measures. Objective: In this study, our objective was to assess the recent literatures regarding the comparison between oral hypoglycemic and insulin in treating GDM regarding the safety and the efficacy. Methods: PubMed database was used for articles selection, and the following keys used in the mesh ("Gestational Diabetes Mellitus/management"[Mesh] OR “Gestational Diabetes Mellitus /metformin"[Mesh] OR “Gestational Diabetes Mellitus /insulin"[Mesh]). A total of 99 articles were found, with further restriction by PubMed filters, and reviewing the articles titles and abstracts the final results were 7 articles. Conclusion: Oral hypoglycemic can be an effective and safe alternative treatment to insulin for women with GDM. There was no significant risk of maternal or neonatal adverse outcome with the use of metformin or glyburide. Treatment with metformin or glyburide was found to be equivalent for both women and newborns. However, metformin was found to be associated with a higher failure rate than glyburide in treating GDM. | ||||
Keywords | ||||
Gestational diabetes mellitus; Oral hypoglycemic; Insulin; Safety and the efficacy | ||||
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