Low glucose in pregnant women

Pregnant women need to pay great attention to their physical health during pregnancy. If there are some problems, they must control them in time. Especially when they have low glucose, they must pay attention to enhancing their own nutrition to avoid malnutrition again. If necessary, they may need to inject enough glucose solution into their bodies to improve the situation.

Whether it is acute or chronic hypoglycemia, especially recurrent hypoglycemia, it indicates the presence of a certain disease. Identifying the cause as early as possible is the key to treatment. To avoid serious consequences, please do the following:

Management of acute hypoglycemia

(1) Glucose application: For patients with acute and severe hypoglycemia and coma, in order to avoid progressive changes in the condition, 50-100 ml of 50% glucose solution must be quickly injected intravenously. If necessary, repeat 1-2 times until the patient is conscious. Then, 10% glucose solution is dripped intravenously to maintain blood sugar at 8.3-11.1 mmol/L (150-200 mg/dl). The patient is observed for 12-48 hours to facilitate the recovery of brain cells and prevent relapse into coma. If the above conditions are not met, patients with low blood sugar and coma should not drink sugar water, which may cause suffocation. At this time, honey or jam can be applied on the patient's teeth and oral mucosa, or nasogastric feeding of sugar water is also one of the first aid measures.

(2) Glucagon application: It can be used together with 50% glucose solution after the onset of the disease. The general dose is 0.5-1.0 mg, which can be injected subcutaneously or intramuscularly. Consciousness is usually restored within 10-30 minutes and the application can be repeated if necessary.

(3) Epinephrine application: When patients have severe hypoglycemia and shock and do not meet the above conditions, they can be used in small to medium doses, but it should be used with caution in patients with hypertension and the elderly.

(4) Application of mannitol: After the above treatment, blood sugar has returned to normal, but the patient is still in a coma for more than 30 minutes. This is low blood sugar and coma, which may be accompanied by cerebral edema. Consider intravenous drip of 20% mannitol 40g, which should be completed within 20 minutes.

(5) Application of adrenal corticosteroids: After high-sugar treatment, although the blood sugar has been maintained at 8.3-11.1 mmol/L, if the patient is still unconscious after 15-30 minutes, in order to protect the brain from damage, adrenal corticosteroids 100-200 mg (or dexamethasone 10 mg) can be used once every 4-8 hours, for a total of 2-3 times.