Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin, Poland.
Int J Mol Sci. 2022 Sep 3;23(17):10101. doi: 10.3390/ijms231710101.
Gestational diabetes mellitus (GDM) is a metabolic disease affecting an increasing number of pregnant women around the world. It is not only associated with numerous perinatal complications but also has long-term consequences impacting maternal health and fetal development. To prevent them, it is important to keep glucose levels under control. As much as 15-30% of GDM patients will require treatment with insulin, metformin, or glyburide. With that in mind, it is crucial to keep searching for novel and improved pharmacotherapies. Nowadays, there are ongoing studies investigating the use of other groups of drugs that have proven successful in the treatment of T2DM. Glucagon-like peptide-1 (GLP-1) receptor agonist and dipeptidyl peptidase-4 (DPP-4) inhibitor are among the drugs targeting the incretin system and are currently receiving significant attention. The aim of our review is to demonstrate the potential of these medications in treating GDM and preventing its later complications. It seems that both groups may be successful in the GDM management used alone or as an addition to better-known drugs, including metformin and glyburide. However, more clinical trials are needed to confirm their importance in GDM treatment and to demonstrate effective therapeutic strategies.
妊娠期糖尿病(GDM)是一种代谢性疾病,影响着全球越来越多的孕妇。它不仅与许多围产期并发症有关,而且还会对母婴健康和胎儿发育产生长期影响。为了预防这些影响,控制血糖水平非常重要。多达 15-30%的 GDM 患者需要用胰岛素、二甲双胍或格列吡嗪治疗。因此,寻找新的、改进的药物治疗方法至关重要。目前,正在进行研究,以探讨使用其他已被证明对 2 型糖尿病治疗有效的药物。胰高血糖素样肽-1(GLP-1)受体激动剂和二肽基肽酶-4(DPP-4)抑制剂是作用于肠促胰岛素系统的药物,目前受到了广泛关注。我们的综述旨在展示这些药物在治疗 GDM 和预防其后期并发症方面的潜力。这两种药物单独使用或与二甲双胍和格列吡嗪等更知名药物联合使用,在 GDM 管理中似乎都有成功的可能。然而,还需要更多的临床试验来证实它们在 GDM 治疗中的重要性,并展示有效的治疗策略。