What medication can be used to treat Gestational Diabetes?

So you will be guided by your blood sugar. So once you have identified as having gestational diabetes, we will be asking you to check your blood sugar before you eat and after you eat, will be guided by what those levels are. First of all, we will try and make sure that we can control it with diet. And then we would either add in a drug called metformin, which is the commonest tablet that you use. There is another tablet we use called glibenclamide, which is safe in pregnancy. But we often just go straight on to using from metformin, we'll go on to use metformin with insulin. That insulin will be both with meals as well as at bedtime. One blood test that we look at to make a decision on the insulin at bedtime is your fasting blood glucose, meaning the blood glucose first thing in the morning, because that isn't really affected by what you've eaten unless you're eating in the middle of the night. That's to do with other hormones that are at their peak at that time of day, which cause your blood sugar to rise, and your body does not produce enough insulin to keep the blood sugar under control, which is why we give insulin, a long-acting insulin at bedtime. The ones you have with meals are very short-acting.