This is most commonly fast-acting insulin given just before eating to blunt glucose rises after meals. Care needs to be taken to avoid low blood sugar levels due to excessive insulin. Insulin therapy can be normal or very tight; more injections can result in better control but requires more effort, and there is no consensus that it has large benefits. A 2016 Cochrane review concluded that quality evidence is not yet available to determine the best blood sugar range for improving health for pregnant women with GDM and their babies.There is some evidence that certain medications by mouth might be safe in pregnancy, or at least, are less dangerous to the developing fetus than poorly controlled diabetes. When comparing which diabetes tablets (medication by mouth) work best and are safest, there is not enough quality research to support one medication over another. The medication metformin is better than glyburide. If blood glucose cannot be adequately controlled with a single agent, the combination of metformin and insulin may be better than insulin alone. Another review found good short term safety for both the mother and baby with metformin but unclear long term safety.People may prefer metformin by mouth to insulin injections. Treatment of polycystic ovarian syndrome with metformin during pregnancy has been noted to decrease GDM levels.Almost half of the women did not reach sufficient control with metformin alone and needed supplemental therapy with insulin; compared to those treated with insulin alone, they required less insulin, and they gained less weight.
Exfoliation can refer to:

Exfoliation (botany), the loss of leaves (or, in some cases, pieces of bark) from a plant
Exfoliation (cosmetology), a cosmetic technique that aims to remove dead skin from the body and face
Exfoliation (geology), a process resulting in parallel fractures in the surface of rock
Exfoliation corrosion (metallurgy), a severe type of intergranular corrosion
Exfoliation - Intercalation (chemistry), the complete separation of the layers of a material
Exfoliation syndrome, an eye disease

See also
Exfoliative dermatitis, sometimes known as erythroderma, a skin disease process involving redness and scaling of most or all of the sufferers skin, with various causes