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Glycemic management after antenatal corticosteroid therapy

Sanjay Kalra1, Bharti Kalra2, Yashdeep Gupta3

  • 1Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.

North American Journal of Medical Sciences
|April 4, 2014
PubMed

Antenatal corticosteroids (ACS) are recommended for use in antenatal mothers at risk of preterm delivery before 34 weeks. One common side-effect of these drugs is their propensity to cause hyperglycemia. A PubMed search was made using terms 'steroid,' 'dexamethasone,' 'betamethasone' with diabetes/glucose. Relevant articles were extracted. In addition, important cross-reference articles were reviewed. This review, based upon this literature search, discusses the available evidence on effects on glycemic status as well as management strategies in women with pre-existing diabetes, gestational diabetes mellitus, as well as normoglycemic women after ACS use in pregnancy.

Keywords:
Antenatal corticosteroid therapyBetamethasoneDexamethasoneDiabetesGestational diabetes mellitusPregnancy

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