Treatment
Treatment ( 6 Questions)
A nurse is discussing the use of medication for gestational diabetes with a client.
Which statement accurately describes the use of oral antidiabetic drugs such as metformin or glyburide?
They are not the first-line treatment option for gestational diabetes. The first-line treatment is diet and exercise, which can help control blood sugar levels in most cases of GDM
They are not necessarily contraindicated during pregnancy. Although there are some potential risks to the baby, such as hypoglycemia or fetal growth restriction, these can be minimized by careful monitoring and dose adjustment.
They are used in cases where diet and exercise are not sufficient to control blood sugar levels. According to a study by Langer et al, oral antidiabetic drugs such as glyburide and metformin are equivalent to insulin in terms of pregnancy outcomes in gestational diabetes mellitus (GDM). These drugs can help lower blood sugar levels by stimulating the release of insulin from the pancreas, limiting the liver’s production of glucose, or improving the cells’ sensitivity to insulin.
They are not preferred over insulin injections for their ease of use and convenience. Insulin injections are still the gold standard for treating GDM, especially in cases of severe hyperglycemia or when oral drugs fail to achieve adequate glycemic control. Insulin injections also have fewer side effects and interactions than oral drugs
The correct answer is choice C. They are used in cases where diet and exercise are not sufficient to control blood sugar levels. According to a study by Langer et al, oral antidiabetic drugs such as glyburide and metformin are equivalent to insulin in terms of pregnancy outcomes in gestational diabetes mellitus (GDM). These drugs can help lower blood sugar levels by stimulating the release of insulin from the pancreas, limiting the liver’s production of glucose, or improving the cells’ sensitivity to insulin.
Choice A is wrong because they are not the first-line treatment option for gestational diabetes. The first-line treatment is diet and exercise, which can help control blood sugar levels in most cases of GDM.
Choice B is wrong because they are not necessarily contraindicated during pregnancy. Although there are some potential risks to the baby, such as hypoglycemia or fetal growth restriction, these can be minimized by careful monitoring and dose adjustment.
Choice D is wrong because they are not preferred over insulin injections for their ease of use and convenience. Insulin injections are still the gold standard for treating GDM, especially in cases of severe hyperglycemia or when oral drugs fail to achieve adequate glycemic control. Insulin injections also have fewer side effects and interactions than oral drugs.