Saturday, January 12, 2008
Pregnant insulin dosage of principle
Pregnant women with diabetes or gestational diabetes, in order to guarantee the normal fetal growth and development with insulin therapy. Early in pregnant women due to pregnancy response, eating less and less insulin requirements. Sometimes normal fasting blood glucose or hypoglycemia, could not drugs, but because of the late pregnancy placenta growth hormone lactation, Estrogen, adrenocorticotropic hormone (ACTH) and adrenal secretion increased cortisol secretion, Antagonism is the role of insulin, tissue insulin dose increased need. After delivery to patients with gestational diabetes can be suspended insulin, diabetes before pregnancy after the birth of the child who needed insulin also reduce the volume. General dose : If pregnancy fasting blood glucose greater than 7.8 mmol / L, per kg body weight per day 0.6U insulin; Since the 6 ~ 18 weeks to 0.7U / (kg body weight); No. 19 ~ 26 weeks to 0.8U / (kg body weight); No. 26 ~ 36 weeks to 0.9U (kg body weight); After the first 36 weeks of a U / (kg body weight) or childbirth. After childbirth were also reduced to 0.6 U / (kg body weight).
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