What's the best treatment for gestational diabetes?

Abstract

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).