What's the best treatment for gestational diabetes?
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There is no single approach to glycemic control that is better than another for reducing neonatal mortality and morbidity. Glycemic control—regardless of whether it involves diet, glyburide, or insulin—leads to fewer cases of shoulder dystocia, hyperbilirubinemia requiring phototherapy, nerve palsy, bone fracture, being large for gestational age, and fetal macrosomia (strength of recommendation: A).
Journal of Family Practice, 56(9) 2007: 757-758.