A 33-year-old woman at 8 weeks of gestation attends the GP. She has type 2 diabetes on metformin 500 mg twice daily. Her HbA1c at booking is 48 mmol/m...

Question

A 33-year-old woman at 8 weeks of gestation attends the GP. She has type 2 diabetes on metformin 500 mg twice daily. Her HbA1c at booking is 48 mmol/mol (6.5%). According to NICE NG3, can she continue metformin in pregnancy?

Accepted Answer

Yes - metformin can be used in pregnancy (alone or with insulin) for type 2 diabetes. Her HbA1c is at the recommended pre-conception target.

Answer

No - metformin must be stopped immediately and replaced with insulin

Answer

Metformin is teratogenic and must never be used in pregnancy

Answer

She should switch to glibenclamide

Answer

She should stop all diabetes medication as her HbA1c is normal

uk-drcog MCQ (SBA): Metformin Continuation in Type 2 Diabetes Pregnancy

A 33-year-old woman at 8 weeks of gestation attends the GP. She has type 2 diabetes on metformin 500 mg twice daily. Her HbA1c at booking is 48 mmol/mol (6.5%). According to NICE NG3, can she continue metformin in pregnancy?