Diabetes, Antenatal insulin regime, management in pregnancy (358) | Right Decisions

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Diabetes, Antenatal insulin regime, management in pregnancy (358)

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

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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.

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Last reviewed: 01/04/2018

Next review date: 12/01/2023

Author(s): Robbie Lindsay.

Approved By: Obstetrics Clinical Governance Group

Document Id: 358