Post delivery follow up patients with GDM

  1. Ma’am, what to do if on 3rd day after delivery the fasting blood glucose and postprandial blood glucose doesn’t come within normal range in case of mother with GDM?
  2. Ma’am, is it required to monitor every 2 hour glucose value once we start iv insulin, as one complete dose of insulin mixed in 500 ml NS is taking 5 hours to get administered? ( In case of Intrapartum insulin requirement in GDM)

Post delivery follow up patients with GDM

.Immediate pospartum care: woman with GDM is not different form woman without GDM, but hese women are at high risk of developing type 2 diabetes mellitus in future

Materanl glucose levels usually return to nomal after delivary

Nevertheless a fasting plasma glucose and 2-hour OOOG performed in the 3rd day of delivery at the place of delivery.For this reason GDM cases are not discharged after 48hrs unlike other nomal PNC cases