Glycemic management after antenatal corticosteroid therapy.
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.
Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.
Sanjay
S
Kalra
Department of Obstetrics and Gynecology, Bharti Hospital, Karnal, Haryana, India.
Bharti
B
Kalra
Department of Medicine, Government Medical College and Hospital, Chandigarh, India.
Yashdeep
Y
Gupta
Antenatal corticosteroid therapy; Betamethasone; Dexamethasone; Diabetes; Gestational diabetes mellitus; Pregnancy