Even though GDM usually is triggered and diagnosed in late pregnancy, mothers need to check their blood sugar levels at least four times daily and continue until they deliver. Patients should report their blood sugar levels to a perinatologist weekly for follow-up and treatment evaluation. In many cases, the RD also is a CDE and, as part of the perinatology team, is involved in all aspects of patient care, which includes providing instructions for self-monitoring blood sugar, medical nutrition therapy and exercise, and medication recommendations.
That there are over 200 brands currently available on the market worldwide, suggests an abundance of options, but from a pharmacological standpoint, not much has changed in hormonal contraceptive technology over the last half century. The predominant estrogen used in contraceptives remains the same as was developed decades ago, a compound called ethinyl estradiol (EE2). With the exception of the fourth generation progestins, the progestins used in modern contraceptives involve only slight modifications to the original compounds. Even the ‘newer’ delivery methods, like the intrauterine device and the cervical ring, were developed decades ago, in the 1950s and 1960s. For all practical purposes, contraceptive technology remains as it was over half a century ago. Therefore, today’s contraceptives carry as many or more of the side effects and risks as their predecessors did.