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Antidepressant Use During Pregnancy and the Risk for Gestational Diabetes: A Systematic Review and Meta-Analysis

2023

Abstract

Studies reviewed herein suggest that antidepressants may cause diabetes. Insulin resistance is associated with treatment resistance; overcoming it with metformin improved depression scores in 1 randomized trial in bipolar depression. Quantifying antidepressant-associated gestational diabetes is one way to further examine causation, but even with large numbers, certainty is hard to establish.

How strong is the evidence?

Evidence Hub reads this as a meta-analysis. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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