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The American College of Obstetricians and Gynecologists (ACOG) and the American Diabetes Association (ADA) continue to recommend human insulin as the standard of care in pregnant women with diabetes mellitus and gestational diabetes mellitus (GDM) requiring medical therapy

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Compounding pharmacies operate under state pharmacy board oversight, federal compounding law (DQSA), and for those that pursue it voluntary PCAB accreditation that sets standards beyond what state licensure requires on its own