Mrs. Rumana: Hi, I've been taking gliclazide to manage my diabetes and I just found out that I'm pregnant. Is it safe to continue taking gliclazide during pregnancy?

Expert: Congratulations on your pregnancy! It's important to talk to your doctor about whether or not you should continue taking gliclazide during pregnancy. Gliclazide can cross the placenta and may affect the baby's blood sugar levels.

Mrs. Rumana: Oh, I see. What are the risks of taking gliclazide during pregnancy?

Expert: The use of gliclazide during pregnancy has been associated with an increased risk of neonatal hypoglycemia, or low blood sugar levels in the newborn. It's also possible that gliclazide could increase the risk of birth defects, although the evidence is limited.

Mrs. Rumana: That sounds concerning. What are my options for managing my diabetes during pregnancy?

Expert: There are other medications that can be used to manage diabetes during pregnancy, such as insulin. Your doctor can help you decide on the best treatment plan for you and your baby.

Mrs. Rumana: Okay, thank you for letting me know. What about breastfeeding? Is it safe to take gliclazide while breastfeeding?

Expert: Gliclazide can pass into breast milk and may affect the baby's blood sugar levels. It's generally not recommended to take gliclazide while breastfeeding. Your doctor can help you decide on the best treatment plan for you and your baby while breastfeeding.

Mrs. Rumana: Thank you for your help and advice. I'll make sure to talk to my doctor about my options for managing my diabetes during pregnancy.

Expert: You're welcome. It's important to be cautious when taking gliclazide during pregnancy and breastfeeding, and to talk to your doctor about any concerns or questions you may have. If you have any further questions or concerns, don't hesitate to speak with your doctor or pharmacist.