Case Series
Volume 4 Issue 4 - 2020
Labor Glucose Management for Diabetes in Pregnancy
Sulaiman Hajji1*, Khaled Aljenaee2 and Mensud Hatunic1,3
1Endocrinology Department, Mater Misericordiae University Hospital, Dublin, Ireland
2Endocrinology department, Saint James’s hospital, Dublin, Ireland
3School of Medicine, University College Dublin, Ireland
*Corresponding Author: Sulaiman Hajji, Endocrinology Department, Mater Misericordiae University Hospital, Dublin, Ireland.
Received: February 18, 2020; Published: March 31, 2020




Abstract

Several adverse outcomes have been associated with diabetes during pregnancy and these complications diverge according to the type of diabetes and the severity of the disease. Controlling blood glucose during pregnancy will minimize the risk of complications. Furthermore, intrapartum glycemic control is very important because the occurrence of fetus academia and hypoglycemia is highly related to maternal hyperglycemia during labor. There is no clear recommendation regarding blood glucose target during labor or the best way to control it with different types of diabetes. The National Maternity Hospital (NMH) is a tertiary level unit in Dublin, Ireland with more than 9000 births per year. A weekly multidisciplinary clinic is provided by endocrinologists, obstetricians, midwife diabetes specialists and dietitians with support. We are sharing our experience in management of blood glucose during labor for pregnant patients attending NMH, with 4 different cases of diabetes; Fixed labor protocols were used for each of the above patients with excellent outcome and glycemic control.

Keywords: Pregnancy; Diabetes; Gestational Diabetes

References

  1. Magon N. “Gestational diabetes mellitus: Get, set, go From diabetes capital of the world to diabetes care capital of the world”. Indian Journal of Endocrinology and Metabolism 3 (2011): 161-169.
  2. Mumtaz M. “Gestational diabetes mellitus”. Malaysian Journal of Medical Sciences 1 (2000): 4-9.
  3. Dodd JM., et al. “Screening for gestational diabetes: the effect of varying blood glucose definitions in the prediction of adverse maternal and infant health outcomes”. Australian and New Zealand Journal of Obstetrics and Gynaecology 4 (2007): 307-312.
  4. Kalra P and Anakal M. “Peripartum management of diabetes”. Indian Journal of Endocrinology and Metabolism 1 (2013): S72-S76.
  5. Jovanovic L. “Glucose and insulin requirements during labor and delivery: the case for normoglycemia in pregnancies complicated by diabetes”. Endocrine Practice 2 (2004): 40-45.
  6. Shrivastava VK., et al. “A randomized, double-blinded, controlled trial comparing parenteral normal saline with and without dextrose on the course of labor in nulliparas”. American Journal of Obstetrics and Gynecology 4 (2009): 379.e1-379.e6.
  7. Carron Brown S., et al. “Effect of management policy upon 120 Type 1 diabetic pregnancies: policy decisions in practice”. Diabetic Medicine 7 (1999): 573-578.
  8. ACOG Committee on Practice Bulletins. “ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists. Number 60, March 2005. Pregestational diabetes mellitus”. Obstetrics and Gynecology 3 (2005): 675-685.
  9. Blumer I., et al. “Diabetes and Pregnancy: An Endocrine Society Clinical Practice Guideline”. Journal of Clinical Endocrinology and Metabolism 11 (2013): 4227-4249.
  10. Diabetes in pregnancy: management from preconception to the postnatal period | Guidance and guidelines | NICE (2017).
  11. Hod M., et al. “The International Federation of Gynecology and Obstetrics (FIGO) Initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care#”. International Journal of Gynecology and Obstetrics 3 (2015): S173-S211.
Citation: Sulaiman Hajji., et al. “Labor Glucose Management for Diabetes in Pregnancy”. EC Nutrition 4.4 (2020): 28-33.

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