herve leger outlet Diabetic pregnancy 32 cases _30

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32 cases of gestational diabetes mellitus Treatment

Length (roar) 100] × 0.9. Total calories per day 158.99kJ / k pit. Of which 50% to 55% carbohydrates. Fat l8% ~ 20%,[link widoczny dla zalogowanych], protein 30%,[link widoczny dla zalogowanych], well on blood sugar and urine ketone monitoring of pregnant women. The fasting blood glucose <5.6ran ~ l / L (100 ~ g/d1), 2-hour postprandial blood glucose <6.7mrnol / L (120mg/d1). Be treated with regular insulin. Urine were measured, fasting blood glucose, postprandial 2 h blood glucose, and record the ratio, the formula proposed by Xu Zengxiang the body (per liter of body fluids) excess sugar (rag) = [current blood glucose (mg%) a 100: × 10x Weight (kg) x0.6, 2g per excess amount of glucose needed to calculate the lu islet orderly daily requirements for each pregnant woman. First to the I / 3 ~ 1 / 2 volume, in order to avoid hypoglycemia, clinical observation and blood glucose: After determining the basic amount per head to adapt to changes in urine sugar and urine ratio of reference to calculate the amount of daily insulin, but again each week determination of a fasting and postprandial blood glucose 2 hours to drain the whole the ratio of insulin dosage guide to make urine control in weak positive ~(+)。 Islet tangled Usage: All patients were intravenous infusion of timely adjustment method: total amount of insulin required to be a head 30 minutes before a meal were static spine infusion rate per hour, 4 ~ 36U, in 30 - 35 minutes losers , then an hour after the intravenous infusion of 0.2 ~ 13u to maintain blood glucose of patients in the 5.8 ~ 65mrr-~ l / L (104 ~ 116rag/al1): NST once a week for fetal monitoring and ultrasound examination to exclude fetal malformations . Accurate assessment of fetal weight: NST 2 consecutive negative, can be used for acoustic stimulation test can be used in late pregnancy or the CST care OCT. 1.3 The effect of blood sugar stable, two concurrent ketoacidosis who fell corrected, l8 cases with infected people were hospitalized after the 7 ~ lO-day cure = 1O PIH (1 of which fell heavy, moderate in 2 cases, mild n = 7) condition under control, 5 treated side polyhydramnios amniotic fluid ≤ 7Ga, pregnancy complication rate 46.9% (15/32). Concurrent rupture of the membranes of a fall delivery, fetal distress during the official 0cT (+) 1 case. Childbirth complications was 6.3% (2 / 32). 30 cases of pregnancy, term delivery, 2 side premature. Mode of delivery: cesarean section lO guillotine. Indications for surgery: great children, 2 cases of fetal distress during the official OCT (+) 1 case of severe pregnancy-induced hypertension in 1 case, three cases of cephalopelvic disproportion, malposition in 3 cases. Vaginal delivery in 5 cases, indications for surgery: the official extension of the second stage of fatigue reduction. Feeding of natural childbirth 17. Newborn AP. gar score 0 to 3 points in 1 case, 4 to 7 points l4 cases, 8 ~ l0 minutes l7 cases. Neonatal hypoglycemia 1 down, after the correction by feeding sugar, neonatal pneumonia in 2 cases, 1 case cured. A fall and died of respiratory distress syndrome. Fetal infant morbidity 16.2% (s/32). 2 discussion feces disease with pregnancy except sugar diet, the need to boil conventional subcutaneous insulin administration difficulties and poor absorption of insulin edema half-life of only 4 to 5 minutes after the intravenous plasma concentration 25 minutes are the same as before with the governance boil, so blood sugar does not bow lasting balance. Improve insulin usage, a false charge by intravenous infusion of timely section method. Che maintain blood glucose level to a lasting balance. 20 to 23 week of pregnancy so that this method l2 cases were full term delivery. Yuan complications. After 23 weeks pregnant so that this method 2O cases of preterm birth 2 down, a huge children in 2 cases, 2 cases of neonatal pneumonia, including a fall and died of respiratory distress syndrome with continuous intravenous food balance closure Zha Note Insulin timely adjustment method is treatment of diabetic patients an effective method of pregnancy 3
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