A 29-year-old woman at 39 weeks' gestation presents in labour. She has pre-existing type 1 diabetes but excellent glycaemic control with HbA1c 6.3 per...

Question

A 29-year-old woman at 39 weeks' gestation presents in labour. She has pre-existing type 1 diabetes but excellent glycaemic control with HbA1c 6.3 percent throughout pregnancy. According to Diabetes Canada and SOGC, what is the recommended intrapartum glucose management target to reduce neonatal complications?

Accepted Answer

Maintain capillary glucose roughly between 4 and 7 mmol/L during labour

Answer

Allow glucose to rise up to 12 mmol/L during labour

Answer

Maintain glucose below 3 mmol/L to avoid foetal hyperglycaemia

Answer

Do not monitor glucose during labour

Answer

Use continuous intravenous dextrose without insulin regardless of readings

ca-mccqe1 MCQ (SBA): Intrapartum glucose targets in diabetes