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LITTLE ROCK, ARK. -- A landmark study demonstrating the efficacy of glyburide use in gestational diabetes mellitus has given the green light to investigations into the use of other oral hypoglycemic agents during pregnancy Dr. Thomas R. Moore said at the annual meeting of the North American Diabetes in Pregnancy Study Group.
"I really do think that adding insulin to an already hyperinsulinemic / resistant person is the wrong strategy and we should accelerate the search for and safety validation of agents which will modulate insulin resistance. These are presently oral agents, of course. Until then, we will be pouring insulin on the problem as the next best fix," Dr. Moore, professor and chairman of ob.gyn. at the University of California, San Diego, said in an interview
He and his associates are beginning a randomized trial of acarbose plus diet versus diet alone in 200 women with gestational diabetes to see whether the alpha-glucosidase inhibitor can reduce the number of women who need insulin or glyburide therapy
Previous studies have shown that while acarbose itself isn't absorbed ...