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Glucose During Labor

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Glucose Control During Labour In Diabetic Women

Abstract Objective Glucose control during labour is important for mother and neonate, with high rates of neonatal hypoglycemia reported in offspring of women with pre-existing or gestational diabetes (48% and 19%, respectively). How glucose control can be achieved is rarely specified. We conducted a chart review of a standardized approach using an iterative intravenous insulin-glucose infusion. Methods We performed a retrospective review of the records of 274 diabetic women during labour. Fifty-five women had type 1 diabetes, 55 had type 2 diabetes, and 164 had gestational diabetes (GDM). The protocol used hourly capillary blood glucose determinations, each prompting changes in insulinglucose infusion rates as required. Outcomes included maternal blood glucose levels three hours before delivery and neonatal hypoglycemia (blood glucose < 2 mmol/L). Results The insulin-glucose infusion was used in 47% of women with type 1, type 2, and gestational diabetes requiring ≥ 0.5 units/kg/day of insulin during pregnancy and in 8% of women with GDM treated by diet or < 0.5 units/kg/day of insulin. The overall rate of maternal hypoglycemia was low (6.6% with blood glucose ≤ 3.5 mmol/L and 1 Continue reading >>

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Popular Questions

  1. lauram116

    I didn't know they get harder to control towards the end! Thank you!!! I eat the same thing everyday and they have been a lot higher! Sorry I can't answer your question.... He's still in there!! Thank you though!

  2. smokeypants

    Haha well glad I could help you!

  3. BakinABoy

    Mine actually got much better as I went along. It's very few and far between that I miss a number and when I do it's my own stupidity. I've controlled it by diet entirely.

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