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The regimen of medicines used to control the patient’s blood glucose levels will be determined by the diabetes in pregnancy clinic tailored to their treatment preferences and the degree of hyperglycaemia 5 20 Metformin is the preferred firstline treatment as the risk of hypoglycaemia is lower than when using insulin and many patients prefer the ease of taking a.
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Treatment should be determined based on the patient’s clinical history and tolerability of the various medications If initial treatment is ineffective despite dose titration it will be necessary to substitute the drug with another one either from the same or different class There are no universally accepted first or second line drugs.
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