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Endocrine Disorders in Pregnancy Treatment Information
If you have diabetes, your treatment team will usually recommend insulin or other therapies. Treatment options include:
- Insulin. Insulin injections are standard treatment for diabetes during pregnancy. This therapy helps control blood sugar levels if your diet and exercise are not effective treatments. You typically give yourself shots using a syringe. One to four injections per day may be necessary, and you may need more than one type of insulin. Some women take insulin using an insulin pump. If you have gestational diabetes, you probably will not need insulin after your baby is born.
- Oral diabetes medicines. Glyburide and metformin taken in tablet form may help you control blood sugar if you have diabetes during pregnancy. However, research is still underway to determine how effective and safe they may be for pregnant women.
If you have thyroid disease, medicine may be recommended to keep your thyroid levels healthy for you and your baby. Surgery is rarely needed during pregnancy, and radiation treatment is not considered safe while you are pregnant. Treatment options include:
- Antithyroid medicines. These medicines are used for hyperthyroidism to reduce the production of thyroid hormones. Options include methimazole and propylthiouracil. Depending on your dose, you may take these medicines from one to three times a day. Propylthiouracil is generally used in the first trimester of pregnancy because it is considered safer than methimazole during that period. We use the lowest possible doses of these medicines to avoid affecting your baby’s thyroid function.
- Thyroid hormone. This treatment is used for hypothyroidism. Levothyroxine mimics the natural thyroid hormone thyroxine, and is considered safe for treating hypothyroidism during pregnancy. You generally take this medicine as a tablet once daily on an empty stomach.
Endocrine Disorders in Pregnancy Locations & Physicians
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Endocrine Disorders in Pregnancy Support Services
Women with endocrine disorders in pregnancy can get information and support from many sources. They include:
A Sampling of Endocrine Disorders in Pregnancy Support Services
American Diabetes Association
The website of this nonprofit organization discusses ways to manage diabetes during pregnancy.
American Thyroid Association
This nonprofit group offers a patient-friendly explanation of how thyroid disorders can affect pregnancy.
National Endocrine and Metabolic Diseases Information Center
This U.S. government agency provides an overview of thyroid disorders that can occur during pregnancy, including information on diagnosis and treatment.