Insulin vs anti‐diabetic agent
Insulin showed no clear difference in hypertensive disorders of pregnancy (pre‐eclampsia) compared with anti‐diabetic agent (moderate certainty).
- RR 1.14 [0.86, 1.52]10 studies · 2060 participantsModerate
Insulin showed no clear difference in hypertensive disorders of pregnancy (pre‐eclampsia) compared with anti‐diabetic agent (moderate certainty).
Insulin showed no clear difference in perinatal (fetal and neonatal death) and later infant mortality compared with anti‐diabetic agent (low certainty).
Insulin showed no clear difference in death or serious morbidity composite compared with anti‐diabetic agent (moderate certainty).
Insulin showed no clear difference in neonatal hypoglycaemia compared with anti‐diabetic agent (low certainty).
Insulin showed no clear difference in adiposity at birth ‐ percentage fat mass compared with anti‐diabetic agent (moderate certainty).
The review found no eligible studies for this question.
Insulin showed no clear difference in neurosensory disability in later childhood (18 months) Mild… compared with anti‐diabetic agent (low certainty).
Insulin probably leads to higher hypertensive disorders of pregnancy (not defined) compared with anti‐diabetic agent (moderate certainty).
Insulin showed no clear difference in caesarean section compared with anti‐diabetic agent (moderate certainty).
Insulin showed no clear difference in development of type 2 diabetes compared with anti‐diabetic agent (moderate certainty).
The review found no eligible studies for this question.
Insulin showed no clear difference in postnatal weight retention or return to pre‐pregnancy weight ‐… compared with anti‐diabetic agent (low certainty).
The review found no eligible studies for this question.
Insulin probably leads to higher induction of labour compared with anti‐diabetic agent (moderate certainty).
Insulin showed no clear difference in large‐for‐gestational age (birthweight > 90th centile) compared with anti‐diabetic agent (moderate certainty).
Summary of findings: insulin glargine showed no clear difference in severe nocturnal hypoglycaemia (n/N) Definition: severe… compared with NPH insulin (moderate certainty).