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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119114/
Immediately after delivery, postpartum insulin requirements decrease dramatically as a result of the rapid decrease in diabetogenic placental hormone levels and resulting dissipation of pregnancy-induced insulin resistance. 11 The Northwestern policy includes general guidance on postpartum diabetes management. Our general practices are summarized below.Author: Annie Dude, Charlotte M. Niznik, Emily D. Szmuilowicz, Alan M. Peaceman, Lynn M. Yee
https://www.medtronic-diabetes.co.uk/life-with-diabetes/pregnancy-planning/insulin-through-pregnancy
Because insulin is absorbed more slowly and can be less effective at lowering glucose in late pregnancy, you may need to give larger doses even earlier, up to 30 to 40 minutes before eating. Labour and delivery. During delivery, glucose levels will be closely monitored to …
https://www.sciencedirect.com/science/article/pii/S1521693410001252
After delivery, insulin requirement falls sharply and it is prudent to decrease the insulin dose to 25–40% of the pre-delivery dose to prevent hypoglycaemia. This is the more important in women after a caesarean section who do not eat or are not allowed to eat for hours to days.Author: Harold W. de Valk, Gerard H.A. Visser
https://www.diabetesdaily.com/learn-about-diabetes/living-with-diabetes/pregnancy-and-diabetes-what-you-need-to-know-2/labor-and-delivery-with-diabetes/
After delivery, there is a significant increase in insulin sensitivity; so, a reduction of the dose of insulin to approximately 50 % of the preconception dose is advised. Women who breastfeed will likely have lower basal insulin needs than women who do not breastfeed.
https://www.webmd.com/diabetes/features/insulin-delivery
Uneven insulin delivery. Because they send insulin into the body through the pores, jet injectors may not always deliver an accurate dose. Other options include an insulin patch. Work closely with your doctor to choose the option that best fits your budget, health needs, and lifestyle.
https://www.uptodate.com/contents/pregestational-and-gestational-diabetes-intrapartum-and-postpartum-glycemic-control
Jovanovic L. Glucose and insulin requirements during labor and delivery: the case for normoglycemia in pregnancies complicated by diabetes. Endocr Pract 2004; 10 Suppl 2:40. Jovanovic L, Peterson CM. Management of the pregnant, insulin-dependent diabetic woman. Diabetes Care 1980; 3:63.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830373/
After delivery, the requirement of insulin shows a sharp decline and in GDM it is advisable to continue the monitoring to see if the sugars have become normal in the postpartum period but in cases with type 1 and type 2 DM it is not prudent to stop the insulin rather the dose of insulin needs to be decreased by 20-40% of the pregnancy dose as the requirement of insulin during lactation is less.Author: Pramila Kalra, Manjunath Anakal
https://www.avera.org/app/files/public/65179/2016-perinatal-intrapartum.pdf
Every hour during insulin infusion An exception is women with gestational diabetes who maintain normal glucose levels with diet and exercise therapy alone. Glucose levels may be …File Size: 126KB
https://care.diabetesjournals.org/content/30/Supplement_2/S225
Jul 01, 2007 · Both can be ruled out by a few fingerstick glucose tests in the first days after delivery (to rule out diabetes: fasting plasma glucose [FPG] <126 mg/dl, <7 mmol/l; casual plasma glucose <200 mg/dl, <11.1 mmol/l). If diabetes is suspected and is confirmed by laboratory fasting or …Author: John L. Kitzmiller, Leona Dang-Kilduff, M. Mark Taslimi
http://perinatology.com/Reference/CDAPP%20SS%20Guidelines%202012.pdf
CDAPP SWEET SUCCESS GUIDELINES FOR CARE - 2012 California Diabetes and Pregnancy Program Sweet Success Guidelines for Care Leona Shields, PHN, MN, NP and Guey-Shiang Tsay, RN, MSN (Editors) California Department of Public Health; Maternal, Child and Adolescent Health Division. Suggested Citation Shields, L and Tsay, GS.File Size: 2MB
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