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Re: 35w diabetic needing less insulin From: Paul Prior MD (pprior@fast.net) Sun Mar 24 16:59:29 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: mborn: "Re: Medical Rx of ectopic" Previous message: Paul Prior MD: "Re: preeclampsia" In reply to: STEWART PRINGLE: "35w diabetic needing less insulin" Next in thread: Roland Armstrong: "Re: 35w diabetic needing less insulin" On Sun, 24 Mar 1996 16:34:11 -0600 (CST), you wrote: >Tomorrow we are delivering (by C/S) a 35w diabetic mainly on the grounds that >her insulin requirements have halved over the last 2 weeks. If this reflects >uteroplacental dysfuncton then shouldn't a normal UA Doppler be reassuring? We >haven't done any tests of lung matuirity but we have just given her steroids >without too much effect on her glucoses. Any hard facts on steroids at this >gestation in diabetics? Fetal activity, CTG/NST's and BPP have been normal and >there is no evidence of PIH in this 28y prim. I wonder if we're doing the right >thing but am accepting the opinion of those more experienced in this situation. Wow. Has there been any non-reassuring fetal testing? What data are you using to support the decision to section for decreasing insulin requirements? -- Paul Prior MD prior@fast.net Home deliveries: PGY-II Ob/Gyn ok for pizzas TRHMC-Reading, PA not for babies Next message: mborn: "Re: Medical Rx of ectopic" Previous message: Paul Prior MD: "Re: preeclampsia" In reply to: STEWART PRINGLE: "35w diabetic needing less insulin" Next in thread: Roland Armstrong: "Re: 35w diabetic needing less insulin"

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