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Acarbose, metformin studied in GDM. (Oral Agents).

OB GYN News

| June 15, 2003 | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

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 ...

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