Research Article

A glucose-controlled insulin infusion system for diabetic women during labour.

Br Med J 1978; 2 doi: https://doi.org/10.1136/bmj.2.6137.599 (Published 26 August 1978) Cite this as: Br Med J 1978;2:599
  1. M Nattrass,
  2. K G Alberti,
  3. K J Dennis,
  4. P N Gillibrand,
  5. A T Letchworth,
  6. A L Buckle

    Abstract

    A glucose-controlled insulin infusion system was used to control blood glucose concentration during labour or caesarean section in six insulin-dependent diabetics. The mean blood glucose concentration during the four hours of labour immediately before delivery was 4.6-5.2 mmol/1 (82.9-93.7 mg/100 ml). Feedback control of insulin delivery by blood glucose concentration should decrease the risk of postpartum hypoglycaemia in the infant and allow normal obstetric management for the insulin-dependent diabetic in labour.