妊娠糖尿病，營養師叫吃這個藥，可是這個藥孕婦不能吃的啊 https://www.nps.org.au/medical-i ... aformin-500-tablets
營養師是ob介紹的，ob休假了，真是不知道要不要吃
Do not take this medicine if you are pregnant or plan to become pregnant.
The safety of Diaformin in pregnant women has not been established.
Insulin is more suitable for controlling blood glucose during pregnancy. Your doctor will replace Diaformin with insulin while you are pregnant.
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不应该吃的。你如果有糖尿病，应该看内分秘专家。一般用胰岛素。如果需要的话
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Metformin
The MiG trial (2008) showed that use of metformin gives comparable outcomes to insulin
in the management of women with gestational diabetes. Women treated with metformin
had offspring with less severe neonatal hypoglycaemia. Such women gained less weight
during pregnancy and lost more weight after delivery. Women preferred treatment with
metformin. Follow up of the offspring to date has shown no difference between those
whose mothers were treated with insulin and those whose mothers were treated with
metformin
Long-term follow-up of children born to mothers with gestational diabetes who took
metformin during pregnancy has shown that, if anything, the children at 2 years have less
abdominal fat than children whose mothers had been managed with insulin alone12
.
Preliminary data from South Australia suggest that there are no significant differences in
neuro-cognitive capacity and IQ in the offspring exposed to metformin in utero at 6 to 7
years of age
The use of metformin in pregnancy is not currently endorsed by regulatory authorities or
professional bodies, including ADIPS. Although no adverse effects have been
demonstrated to date, metformin does cross the placenta, leading authorities to be very
cautious in their recommendations.
Nonetheless, metformin is used for the treatment of gestational diabetes in many centres
around Australia and New Zealand
Metformin could be considered for use in women who have failed non-drug treatments and
who either refuse or are unable to take insulin. The mother should be educated about the
potential risks, benefits and areas of uncertainty so that an informed decision can be
made.
Use of metformin should only be in consultation with a physician / endocrinologist with
specialised knowledge of its use in pregnancy
The above is from AU in-hospital guideline (consensus from RANZCOG and ADIPS)
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营养师不是医生怎么能开药呢？不明白。。。
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服药只能听医生的，孕妇更是这样
营养师，药剂师，心理治疗师等偶尔会忍不住出些馊主意
“ta们” 更会这样
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楼上都是正解。
妊娠糖尿病除了见营养师，更需要定期看内分泌专科医生。
楼主提到的药，记得内分泌医生说过，一旦发现怀孕，马上停药。
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孕妇糖尿病就控制饮食来控制血糖，控制不住就上胰岛素，不能吃药的
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不能吃药啊 要去看内分泌及胰岛素打针啊
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营养师都没有处方权的，怎么能给你开药
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二甲双胍对孕妇的毒性不是很大，但是一般以胰岛素为主
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