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Glocophage Tablet during Pregnancy

QUESTION

Dear Midwife,
Hi, I am Molly, living in Dubai (UAE). I am 41 years old and I have one child who is 5 years old.

Now I am 7 weeks pregnant as. I consulted a Dr. and had a scan last week, saying the pregnancy is normal.

I have had diabetes since October 2008 and am taking Glocophage 500mg twice daily with food. My sugar levels are average 110mg fasting and two hours after eating 135/140mg. My weight is 116.8lbs and I am 5 foot 1in.

Is it safe for me to continue taking Glocophage or would another medication / insulin be better?

ANSWER

As long as you can keep your sugars in the normal range, glucophage is considered safe for pregnancy, and we do not normally want to change a medication that a woman is stable on.

However, 110 is a little high for a fasting blood sugar during pregnancy, so you may wish to discuss this with your provider.

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.