Glucose and insulin in labour

Glucose and insulin are given by intravenous infusion for all vaginal deliveries as follows:

Intravenous dextrose (10%): one litre every eight hours delivered at a steady rate.

Intravenous insulin: soluble insulin diluted in physiological saline (1 unit insulin/ml saline) and administered by infusion pump at about 1 unit/h (usual range 0-5-2 units/h). If very low infusion rates are used the insulin concentration can be halved.

Blood glucose concentrations should be maintained in the range 4-0-7-0 mmol/l. Insulin infusion is continued until the patient can restart her normal meals. The pre-pregnancy insulin dose is then restarted, otherwise severe hypoglycaemia will occur; if the patient was not previously on insulin, the insulin dose is halved.

Head circumference (mean ± 2SD)

Head circumference (mean ± 2SD)

Birth weight

.. Menstrual age 40 (weeks)

Abdominal circumference (mean ± 2SD)

30 40

Birth weight

.. Menstrual age 40 (weeks)

Abdominal circumference (mean ± 2SD)

30 40

Menstrual age (weeks)

Ultrasound measurement of fetal growth showing excessive increase of abdominal girth, indicating delivery of a large baby

Blood glucose regimen in

labour

Blood glucose

Infusion rate

<4-0 mmol/l*

G^5 U/h

4-0-7-0 mmol/l

1 U/h

>7-0 mmol/l

2 U/h

*If the blood glucose concentration decreases to <3-0mmol/1, insulin infusion can be stopped for up to 30 minutes.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

Get My Free Ebook


Post a comment