Oral antidiabetic medication in the form of metformin and if needed supplementary glibenclamide are a safe and effective first choice treatment strategy for gestational diabetes.
ID
Bron
Verkorte titel
Aandoening
Gestational diabetes
Diabetes gravidarum
Zwangerschapsdiabetes
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Number of infants born large-for-gestational-age (LGA)
Doel van het onderzoek
Oral antidiabetic medication in the form of metformin and if needed supplementary glibenclamide are a safe and effective first choice treatment strategy for gestational diabetes.
Onderzoeksopzet
• Maternal hypoglycemia: study period until 6 weeks postpartum
• Primary / secondary caesarean section: delivery
• Pregnancy related hypertensive disorders: study period until 6 weeks postpartum
• Preterm delivery: delivery
• Neonatal hypoglycemia: delivery until discharge
• Neonatal hyperbilirubinemia requiring phototherapy: delivery intil 6 weeks postpartum
• Neonatal Medium care / NICU admission: delivery until 6 weeks postpartum
• fetal umbilical cord blood C-peptide: delivery
• maternal HbA1c measures: study intake, week 30 and 35 of pregnancy
Onderzoeksproduct en/of interventie
Intervention: metformin and if needed supplementary glibenclamide
Comparator: insulin
Publiek
L. de Wit
Lundlaan 6
Utrecht 3584 EA
The Netherlands
0031 88 755 4913
l.dewit-3@umcutrecht.nl
Wetenschappelijk
L. de Wit
Lundlaan 6
Utrecht 3584 EA
The Netherlands
0031 88 755 4913
l.dewit-3@umcutrecht.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
- Aged 18 years or over
- Singleton pregnancy
- Diagnosis of GDM as per national guidelines
- Indication for pharmacological treatment of GDM
- Gestational age between 16 and 34 weeks
- Ability to understand Dutch or English
- Ability to provide written informed consent
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- Known pre-existent type 1 or type 2 diabetes mellitus
- Severe medical or psychiatric comorbidities
- Serious liver disease or kidney failure, or any other condition with contraindications for the use of either metformin or glibenclamide
- Pregnancy with a fetus affected by major congenital birth defects and/or chromosomal abnormalities
Opzet
Deelname
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In overige registers
Register | ID |
---|---|
NTR-new | NL5953 |
NTR-old | NTR6134 |
CCMO | NL57195.041.16 |
OMON | NL-OMON47522 |