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Pregnancy and Type 2 Diabetes

Type 2 Diabetes Medications During Pregnancy

Do you need to stop or change your diabetes medications when you become pregnant? Some diabetes medications, like metformin, are rated pregnancy Category B, meaning that they are generally considered to be safe and can be continued throughout the pregnancy. However, some diabetes medications are not safe during pregnancy.
 
If your oral diabetes medication is not safe or you just do not want the risks, talk to your doctor about switching to insulin therapy. Insulin can be used in place of oral medications in pregnant women with type 2 diabetes. During pregnancy, your body has to make a lot of changes, including how it responds to diabetes medications. If your blood sugar becomes higher than normal when using oral medications, your doctor might switch you to insulin to get better control.
 
Certain blood pressure and cholesterol medications might need to be stopped during pregnancy. Contact your doctor as soon as you suspect you are pregnant or when you are planning to become pregnant to talk about medication options to decrease any risk of birth defects.
 

Gestational Hypertension

High blood pressure that develops during the second half of pregnancy, known as gestational hypertension (GH), affects 2 percent to 10 percent of pregnancies worldwide and is two to four times more common in women with type 2 diabetes, compared to women without diabetes. Increased age, longer duration of diabetes, higher body mass index (BMI), and poor blood sugar control are a few of the factors that would put a woman at higher risk for gestational hypertension.
 
This condition is diagnosed by a blood pressure reading higher than 130/80 mmHg and can be treated with medications if necessary. Your doctor will help find a safe medication for you and your baby.
 
Healthy Eating for People With Diabetes

Information on Type 2 Diabetes

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