[CG] Diabetes : women NOT requiring insulin, diabetes management, labour and delivery

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GENERAL MANAGEMENT

In women with gestational diabetes controlled by diet or diet and metformin or glibenclamide, management during labour should be as per normal protocols with the addition of :

1. discontinue metformin or glibenclamide when in labour or at induction of labour or when fasting
2. Check capillary blood glucose every 2 hours
   If  capillary blood glucose >6.0 mmol/l  then check hourly
   If  capillary blood glucose >7 mmol/l on two occasions or  >10.0 mmol/l  then consider commencement of sliding scale (see protocol for labour in women requiring insulin)  

**DURING LABOUR TARGET CAPILLARY BLOOD GLUCOSE LEVEL IS UNDER 7MMOL/L**