Menghitung Dosis Insulin Ante, Intra, dan Postpartum

Antepartum

Insulin types Short acting: Regular or Lispro Long acting: NPH or Ultralente Note: Lantus and Levemir tidak direkomendasikan, karena kurangnya data untuk
kehamilan

Insulin per hari berdasarkan berat badan Beberapa dokter menggunakan dosis mulai 0.7 u/kg/day First half of pregnancy: 0.6 u/kg/hari Second half of pregnancy: 0.9 u/kg/hari Bagilah Dosis insulin dalam beberapa bagian Pagi: 2/3 of Insulin NPH Insulin: 2/3 Regular Insulin: 1/3 Sore: 1/3 pf Insulin NPH Insulin: 1/2 Regular Insulin: 1/2

Intrapartum
Monitoring Intrapartum
Fingerstick Gula darah tiap 1-2 jam Target Gula darah 80 to 110 mg/dl Cek Urin Ketone

Protokol Insulin Drip bila Gula darah <100 mg/dl

Insulin Drip 0.5 units/hour in D5LR or D5NS

Blood Sugar 100 to 140 mg/dl

Insulin Drip 1.0 units/hour in NS

Blood Sugar 141 to 180 mg/dl

Insulin Drip 1.5 units/hour in NS

Blood Sugar 181 to 220 mg/dl

Insulin Drip 2.0 units/hour in NS

Blood Sugar >220 mg/dl

Insulin Drip 2.5 units/hour in NS

Postpartum
Postpartum
Hentikan Insulin Drip Cek Fingerstick Blood Sugar setiap 2-4 jam Fingerstick Blood Sugar sebelum makan dan sebelum tidur

Penggunaan Lispro dan Aspart (Mix intermediate insulin)

Dosis awal A1C <8: 0.1 units/kg pagi dan 0.1 units/kg
malam

A1C 8-10: 0.2 units/kg pagi dan 0.2 units/kg malam

A1C >10: 0.3 units/kg pagi dan 0.3 units/kg malam