Hellobee Boards

@DesertDreams88: my RE wanted me to stay on it til 20 weeks but since my nausea hit me at 5 weeks, I stopped taking all oral meds. They were more concerned about preventing my nausea, so they said it was fine. When I graduated from the RE at 9 weeks, I was feeling a bit better and mentioned to my OB that my RE wanted me to stay on Metformin. OB didn't seem concerned that I was off of metformin. Though, I'm still getting nauseous even at 17 weeks, I don't know if I could stomach taking 1500 mg of metformin, Those pills are huge.

Oh, my RE did tell me to do what my OB asked,

That's really weird. I had a similar problem, but that they wanted me to stop after the first trimester. I did a ton of research and that's what the recommendation used to be. I haven't heard of stopping it immediately though. The newer recommendation is to stay on throughout pregnancy but some doctors still don't do that.

Are you pre-diabetic? I have to warn you that if you're pre-diabetic you are going to fail the GD test. I was really upset with my medical care because I was pre-diabetic so there was no way I was going to pass the test. I kept taking Metformin and it helped my blood sugar stabilize a ton. But eventually my endocrinologist convinced me to stop and then my blood sugar went haywire. For weeks and weeks it was a disaster and we kept messing around with diet and then insulin and I never really got it back under control.

We are looking to get pregnant again this summer and I'm going to find a different endocrinologist that is more on board with the more modern methods.

Oh, and btw Metformin will probably not help much once you're pregnant unless you do actually have blood sugar issues.

@bluestriped bee: Insulin resistance can lead to prediabetes, but they are not the same thing.

I've asked several doctors the same question and usually get differing opinions. My GP told me to stop as soon as I got a BFP. I also see an endocrinologist for diabetes and she said that she recommends patients stay on it throughout their pregnancy. My ob/gyn said I could do what I felt comfortable with since their isn't a lot of studies saying it's harmful or not. With my son I stayed on it until 14 weeks as I had read that it may decrease the incidence of miscarriage and I had a previous loss so I wanted to cover all my bases.

@MaryM: oh, ok. Thanks!

@ShootingStar: Ah, gotcha. Thanks!

I stayed on Met all the way through my pregnancy with Georgia, and while breastfeeding.

My RE prefers all the way through the pregnancy, but she said if my OB felt strongly about it I could discontinue after the first trimester. If I did, I was told I needed to get the glucose test 2 weeks after discontinuing. My OB doesn't feel strongly, so I'm on it all the way through. RE and OB both said it's safe all the way through, but there's no consensus on whether all the benefit for PCOS patients is derived during the first trimester or if it continues later on.