GDM Management Query – 29 Weeks Gestation

29 weeks pregnant, recently diagnosed with GDM (no prior history of diabetes).

Fasting: ~105 mg/dL

2-hr PP: ~115 mg/dL (previously high, now controlled post medicine )

On Metformin 500 mg BD earlier.

Doctor advised: 1000 mg HS ( night) + 500 mg morning.

Is increasing the nighttime dose appropriate for elevated fasting glucose?

Risk of hypoglycemia vs mainly better control?

Would 500 mg BD + diet be sufficient instead?

1 reply