Diabetes, Antenatal insulin regime, management in pregnancy (358)
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Patients with any type of diabetes requiring insulin during pregnancy (Type 1, Type 2 or Gestational) presenting during pregnancy needing IV treatment (dehydrated, ketotic or acidotic) and not in labour should be commenced on the following intravenous fluid and insulin regimen. This includes those fasting (non-surgical), hyperglycaemic or with DKA.
In women with suspected or confirmed pre-eclampsia this fluid regimen is not appropriate and these cases should be discussed with the on-call obstetric consultant and a member of the diabetes team.