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Blood Glucose Levels In Labor

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Glucose And Insulin Requirements During Labor And Delivery: The Case For Normoglycemia In Pregnancies Complicated By Diabetes.

Abstract OBJECTIVE: To present protocols for maintaining normoglycemia during labor and delivery in order to achieve optimal outcomes of pregnancy in women with diabetes. RESULTS: Labor has a glucose-lowering effect. In the case of women with insulin-requiring gestational diabetes, no additional insulin is needed with the onset of labor; sufficient glucose should be infused to keep such women from becoming ketotic from the pronged period of starvation. Likewise, protocols derived from glucose-controlled insulin infusion studies reveal that women with type 1 diabetes require no more subcutaneously administered insulin on the morning of an induction of labor or at the onset of spontaneous labor. The intravenously administered solutions should be started with isotonic saline or electrolyte solutions. As soon as active labor is achieved, the solutions should be switched to a glucose-containing fluid and administered at a rate of 2.55 mg/kg per minute. CONCLUSION: Labor is a form of exercise and thus obviates the insulin requirement in women with all types of diabetes, but it also necessitates an eightfold increase in glucose substrate in order to prevent maternal hypoglycemia and ketos Continue reading >>

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Popular Questions

  1. artisgood

    Wondering if any of you experienced moms that have had gestational diabetes in past pregnancies would know the answer to this. For the past two days my blood sugar levels have gone out of control. This is not normal for me (as I'm on medication and I often fight LOW numbers more than high) but the past few days I've had the highest highs of my life. I had GD before with my son but he was a scheduled c-section at 38 weeks (due to my sugar levels never being under control during the pregnancy and I wasn't on medication then btw).
    Just wondering if any of you noticed a sharp change in your numbers as labor neared? As I was sitting on the phone with my mom last night (had GD with her last child) she mentioned the 210 I just pulled could be a result of labor nearing. I know pain can result in higher numbers (I've been having a ton of contractions) but perhaps it could be hormonal changes as labor nears? Just wondering....

  2. Pikemommy

    My numbers never got out of control and I was not on meds.... just diet controlled. I was induced that pregnancy due to pre-e though so I never went into labor on my own.
    My mom is type 1 (has had it since she was a toddler) and she had 3 healthy pregnancies/deliveries and her sugars never went crazy when labor was coming. Hormones do effect her sugar though, she had a terrible time keeping it under control during menapause.
    So basically I'm no help . I would call your Dr. though to let them know about the sugar being higher so they can adjust your meds/diet. You don't want it to be giving the baby a lot of extra sugar at this point in the game or stressing the baby out whether it means labor is approaching or not, it's not good for baby.

  3. KnittinMomOf4

    I don't think so mama, it's just harder to control your sugars the further along you get. .

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