The medical management of diabetes during pregnancy requires careful assessment of dietary modification as well as exercise. These measures facilitate control of the blood sugar. Moreover, physicians will prescribe either insulin or oral antidiabetic medication. There is controversy over which pharmacologic approach yields the best result [1, 2].
Many doctors believe that insulin is the drug of choice for women whose serum glucose is too high. An advantage of it over oral hypoglycemic drugs is that insulin does not cross the placenta. Oral agents, on the other hand, do cross the placenta; hence, their safety for the baby over a long period of time is not clear [1, 2].