Originally Posted by kimberlychapman
Every doctor, fertility specialist, and OB/GYN I can find here in town swears it's class C, so they won't let me have it while breastfeeding. My latest OB/GYN (I had to switch for insurance reasons) wants to put me on insulin instead, which is obviously a much bigger hassle, especially because of the blood testing. Like I have time to stab my finger five times a day when I've got a kid who only naps on me! I'm lucky to get two meals!
So does anyone know of a solid, irrefutable source I can point to to get a doc to prescribe metformin? It'd have to be a US-based source, since I've mentioned British ones and for liability reasons, they discount those.
Thomas Hale. Pretty solid, irrefutable source as far as Bf goes.
The perinatologists at the University of Washington. Hell, pretty much any perinate in the country. OBs are rarely completely UTD on the research; they don't have time. Ask for a perinate consult if they're that worried.
Class C doesn't mean anything. Almost all drugs are class C. It's risk v. benefit, and if you can get tighter control with met than insulin (very possible, with less risk of ketosis), then that is a benefit to you. The concern with met is jaundice postpartum, but, hello -- the people on met (GD) already have babies at higher risk for jaundice! None of the research I've seen shows a higher risk of pathologic jaundice (usually defined as bilirubin >20) in GDM babies whose moms took met, v. the GDM babies of moms who didn't take met.
FTR, I was on insulin with GDM because my OB was stubborn. It's a PITA, and carries the risk of insulin reactions and other fun side effects. I was also on a Class D drug (positive risk of fetal harm in human studies), atenolol, during my pregnancy at the direction of my perinate, and I believe strongly that it greatly contributed to not having PE this time, and our baby is fine. Talk to a perinate, not just an OB.