Gestational Diabetes Treatment: Should We Continue Metformin When Starting Insulin? a Randomized Control Trial
This will be a randomized trial of patients with gestational diabetes who start hypoglycemic therapy with metformin but eventually require insulin. It will examine whether continuing metformin when adding insulin versus discontinuing metformin when insulin is added is beneficial. The investigators hypothesize that continuing metformin will reduce the needed insulin dosage and improve maternal and neonatal outcomes in these patients.
• Provision of signed and dated informed consent form
• Stated willingness to comply with all study procedures and availability for the duration of the study
• Pregnant female meeting diagnosis for gestational diabetes requiring medical treatment
• Ability to take oral medication and be willing to adhere to the metformin regimen
• Willing to take insulin if needed
• Willing to take blood sugars 4 times per day
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