Discussion: Diabetes and Drug Treatments Various differences exist between different types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Type 1 diabetes, for example, predominantly develops in childhood or adolescence and tends to have an abrupt onset of symptoms, whereas type 2 diabetes most commonly occurs during middle age and gradually progresses (Rosenthal, Laura & Burchum, Jacqueline, 2021). Type 1 diabetes occurs due to the loss of insulin-producing pancreatic b cells, whereas type 2 is related to improper insulin secretion and insulin resistance that occurs gradually (Rosenthal, Laura & Burchum, Jacqueline, 2021). Gestational diabetes has an onset during pregnancy and subsides shortly after delivery. Gestational diabetes may be challenging to treat, due to various physiological processes accompanied by pregnancy (such as hormones produced by the placenta that antagonize insulin’s action), and delayed or improper treatment may result in harm to the unborn child (Rosenthal, Laura & Burchum, Jacqueline, 2021).Drug Treatment for Gestational Diabetes Successful management of gestational diabetes relies on maintaining normal glucose levels in, both, the mother and fetus (Rosenthal, Laura & Burchum, Jacqueline, 2021). Care for gestational diabetes not only requires a detailed glycemic target plan, but varies widely from other types of diabetes in that it requires strict and ongoing monitoring for various reasons, such as dosing adjustment requirements around 16 weeks of gestation, due to a peak of insulin resistance which occurs around this period in gestation. The preferred drug treatment for gestational diabetes in the U.S. is insulin, such as lispro, and its dose must match the patient’s needs, by that paying close consideration to consumption of carbohydrates and fluctuating daily physical demands, etc (American Diabetes Association, 2020). Furthermore, some women may be prescribed Metformin alongside insulin, but Metformin and glyburide should not be prescribed as first-line treatments, as these cross the placenta to the fetus (American Diabetes Association, 2020). The use of insulin in GD should follow a strict regimen and be patient-specific and match their nutritional requirements and lifestyle. Frequent monitoring is required and glycemic target goals for blood sugar levels are as follows:Fasting glucose
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