[DOI] [PubMed] [Google Scholar] 175.Al-Sawalha N.A., Alshogran O.Y., Awawdeh M.S., Almomani B.A
Alternatives if tirzepatide isnt suitable Semaglutide (weekly) or liraglutide (daily) GLP-1s Metformin (insulin resistance/PCOS), orlistat (fat absorption), selected appetite suppressants under supervision Non-drug : structured nutrition coaching, resistance-training plan, behaviour support Bariatric/metabolic surgery for higher BMI or multiple comorbidities when durable outcomes are needed Your doctor will match the option to goals , health profile , contraindications , and budget
Clinical evidence further links GDM to pulmonary sequelae in offspring: maternal hyperglycemia impairs fetal lung development (He et al., 2023) and is associated with reduced pulmonary function in progeny (Yang et al., 2024)
Neither has a safety finding against it today
Diabetes Care (2017) 40:16470