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Management of glycaemic control in pregnant women with diabetes on obstetric wards and delivery units

The Joint British Diabetes Societies for Inpatient Care (JBDS–IP) are pleased to present the first edition of this new guideline. It continues the series of JBDS-IP guidelines which have been developed to improve the standards of care for people with diabetes when they are admitted to hospital. 

The purpose of this document is to support existing processes in acute Trusts providing safe and high quality care to pregnant women with diabetes when they are admitted to hospital for any reason. Neonatal hypoglycaemia continues to affect up to 25-30% of babies (Feig DS, 2017) with the risk of impaired neurologic development of the child.

Effective control of maternal glucose during pregnancy, delivery and birth has the potential to reduce this complication. NICE has already produced evidence based guidelines on the target blood glucose which should be maintained. The current JBDS guideline attempts to provide a standardised template by which these targets can be safely and effectively achieved.

Pregnant women are at higher risk of DKA and its adverse consequences. The current guidelines also provide a standardised protocol on how to recognise and treat DKA in the special situation of pregnancy. 

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