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October 19, 2000New England Journal of Medicine

A Comparison of Glyburide and Insulin in Women with Gestational Diabetes Mellitus

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Why the study?

Does glyburide improve glycemic control compared to insulin in women with gestational diabetes mellitus?

Population

404 women with singleton pregnancies and gestational diabetes requiring treatment, randomized between 11 and…

Comparison

Glyburide according to an intensified treatment… vs Insulin according to an intensified treatment…

Design

RCT, Randomly assigned between 11 and 33 weeks of gestation

Authors

OLOded LangerNorthwestern UniversityDCDeborah ConwayIntermountain HealthcareMBMichael D. BerkusThe University of Texas Health Science Center at San Antonio

Discussion

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Implication

Glyburide matches insulin for glycemic control without excess neonatal complications; supports its use as an oral alternative in gestational diabetes.

Structured PICO

Does glyburide improve glycemic control compared to insulin in women with gestational diabetes mellitus?

P
Population
404 women with singleton pregnancies and gestational diabetes requiring treatment, randomized between 11 and 33 weeks of gestation
I
Intervention
Glyburide according to an intensified treatment protocol
C
Comparator
Insulin according to an intensified treatment protocol
O
Outcome
Achievement of the desired level of glycemic controlsurrogate

In women with gestational diabetes, glyburide is a clinically effective alternative to insulin therapy for achieving glycemic control without increasing neonatal complications.

Cite This Study

Langer et al. (2000) studied this question.

synapsesocial.com/papers/6a7ec81de26ba2240a9a1897https://doi.org/10.1056/nejm200010193431601
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