Back to Ask the Diabetes Team Ask the Diabetes Team

From Sussex, England:

I am currently pregnant with my second child, having developed type 1 whilst pregnant with my first child three years ago. I now have an insulin pump and, barring "difficulties," would prefer to use this to control levels during labour rather than go on a I.V. drip, if at all possible. Happily, my diabetes team is positively inclined towards this approach, but have no practical experience themselves either. Could you offer any advice on pump protocols for labour? What would be a reasonable blood sugar range during labour before best practice would dictate use of a I.V., for example?


During labor, I try to keep my patient's blood glucose less than 100 mg/dl (5.6 mmol/dl). If this can be done with the pump, then that is great. There are no specific guidelines. Women in labor do not eat very much. Therefore, it is important to check blood glucose values often (every hour to two hours) and respond accordingly. My personal feeling is that I.V. insulin is very easy to use. When insulin is given I.V., it is metabolized quickly, so it is very easy to control blood glucose. For example, if the patient's blood glucose is too low, then turning off the I.V. infusion will stop the decrease. Similarly, if the glucose is too high, then turning up the infusion rate will quickly correct the level. Either approach is fine as long as you are watching your glucose values closely.


Original posting 1 Aug 2006
Posted to Pregnancy


  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:10:08
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.