A 24-year-old woman with type 1 diabetes is in labour. Capillary glucose is persistently 11–13 mmol/L despite subcutaneous correction doses. She is

Question

A 24-year-old woman with type 1 diabetes is in labour. Capillary glucose is persistently 11–13 mmol/L despite subcutaneous correction doses. She is on an insulin pump but is exhausted and not self-managing. What is the most appropriate management?

Accepted Answer

Use variable-rate intravenous insulin with glucose and ketone monitoring

Answer

Use oral metformin as sole treatment in labour

Answer

Allow persistent hyperglycaemia to avoid neonatal hypoglycaemia

Answer

Stop insulin until after delivery

Answer

Give SGLT2 inhibitor during labour

Type 1 diabetes during labour — SCE Endocrinology MCQ

A 24-year-old woman with type 1 diabetes is in labour. Capillary glucose is persistently 11–13 mmol/L despite subcutaneous correction doses. She is on an insulin pump but is exhausted and not self-managing. What is the most appropriate management?