Safety of Geminor Components During Pregnancy

• Metformin: Generally considered safe during pregnancy.
• Glimepiride and Sitagliptin: Not enough evidence to ensure safety; typically not recommended.

Risks of Continuing Current Medication

• Continuing Glimepiride and Sitagliptin may pose risks to both mother and fetus.
• Avoid certain oral hypoglycemics during pregnancy to prevent potential complications.

Recommended Changes in Diabetes Management During Pregnancy

• Insulin therapy is often preferred for managing diabetes in pregnancy.
• Metformin may be used under strict medical supervision.

Importance of Close Medical Supervision

• Consult with an obstetrician and endocrinologist for personalized advice.
• Regular monitoring of blood glucose and fetal health is crucial.

Next Steps and Patient Guidance

• Do not stop or change medication without consulting your doctor.
• Schedule an appointment promptly to adjust treatment safely.