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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Cetapin XR Advisable During Pregnancy?

Hi doctor, this is hari and I m asking behalf of my friend she is now pregnant and having sugar,blood sugar level fasting 84 and after 154 mg/dl her doctor ask her to have cepatin xr 500mg whether is it necessary to have the tablet or by diet she can control it
Wed, 2 Sep 2015
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Diabetologist 's  Response
Hi,

Thanks for your question.

After going through your question, there is likely possibility of pregnancy induced diabetes in your friend.

For appropriate diagnosis of diabetes in pregnancy there is 75gm Oral Glucose Tolerance Test OGTT).

It is also advisable to do HbA1c level if OGTT is suggestive of diabetes in pregnancy.
HbA1c may help in diagnosis pre-existing diabetes which is diagnosed in pregnancy.

Whatever the type of diabetes, for blood sugar control in pregnancy there are limited medicine approved.
Insulin is universally accepted for blood sugar control in pregnancy.
Other medicines which can be used are Metformin (Citapin XR contain metformin) and Glibenclamide.

It is always advisable for strict blood sugar control during pregnancy to avoid effect on baby and process of delivery.

Blood sugar target for GDM (Gestational Diabetes) are
Before meal capillary blood glucose level should be 1 hour Post meal capillary blood glucose level should be 2 hour Post meal capillary blood glucose level should be
She should follow strict diet and exercise pattern and medicine as advised
by her diabetologist and obstetrician.

Hope this helps your friend, if so do vote as helpful.
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Is Cetapin XR Advisable During Pregnancy?

Hi, Thanks for your question. After going through your question, there is likely possibility of pregnancy induced diabetes in your friend. For appropriate diagnosis of diabetes in pregnancy there is 75gm Oral Glucose Tolerance Test OGTT). It is also advisable to do HbA1c level if OGTT is suggestive of diabetes in pregnancy. HbA1c may help in diagnosis pre-existing diabetes which is diagnosed in pregnancy. Whatever the type of diabetes, for blood sugar control in pregnancy there are limited medicine approved. Insulin is universally accepted for blood sugar control in pregnancy. Other medicines which can be used are Metformin (Citapin XR contain metformin) and Glibenclamide. It is always advisable for strict blood sugar control during pregnancy to avoid effect on baby and process of delivery. Blood sugar target for GDM (Gestational Diabetes) are Before meal capillary blood glucose level should be 1 hour Post meal capillary blood glucose level should be 2 hour Post meal capillary blood glucose level should be She should follow strict diet and exercise pattern and medicine as advised by her diabetologist and obstetrician. Hope this helps your friend, if so do vote as helpful.