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Management of Mild Gestational Diabetes Mellitus (GDM)

Not Applicable
Completed
Conditions
Gestational Diabetes
Pregnancy and Childbirth
Diabetes mellitus arising in pregnancy
Registration Number
ISRCTN86503951
Lead Sponsor
Central Manchester University Hospitals NHS Foundation Trust (UK)
Brief Summary

2020 results in https://pubmed.ncbi.nlm.nih.gov/33243030/ (added 30/11/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
40
Inclusion Criteria

1. Women with risk factors for GDM (NICE 2008) will be offered an oral glucose tolerance test (OGTT) at 26 weeks gestation as part of their routine antenatal care. Women will be provided with written information regarding the study at the time of the OGTT.
2. Women with mild fasting hyperglycaemia (5.1-5.4 mmol/L, 2 hour <8.5 mmol/L) will be invited to participate.

Exclusion Criteria

1. Multiple pregnancy
2. Previous still-birth
3. Previous shoulder dystocia requiring obstetric manoeuvres
4. Age under 16
5. Incapacity to consent
6. A known hypersensitivity to metformin hydrochloride or to any of the excipients
7. Contra-indication to Metformin
8. Known abnormalities of the liver (tested at randomisation)
9. Renal failure or renal dysfunction
10. Acute conditions with the potential to alter renal function such as:
10.1. Dehydration
10.2. Severe infection
10.3. Shock
10.4. Intravascular administration of iodinated contrast agents
11. Acute or chronic diseases which may cause tissue hypoxia such as:
11.1. Cardiac or respiratory failure
11.2. Recent myocardial infarction
11.3. Shock
11.4. Hepatic insufficiency, acute alcohol intoxication, alcoholism
12. Lactation

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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