Carbohydrate Serving (15 grams) 1 Tbsp sugar 4 oz regular pop 3 graham cracker squares ½ cup corn ½ cup oatmeal 1 cup vegetable soup ½ cup ice cream ½ cup unsweetened canned fruit ½ cup potatoes 1 container light yogurt 4 oz apple 7 saltine crackers 1 cup milk ½ cup fruit juice 1 slice of bread
We often do not look at what the patient’s current treatment is: diet, oral agents and/or insulin and sliding scale insulin. (Be proactive. Is there a need to change the patient’s current diabetes medication regimen?)
The weight of the patient is not considered or how insulin resistant the patient is. (one-size-fits all)
Better blood glucose control will improve patient outcomes.
Easier labor and delivery.
Decrease in infections.
Decrease in length of stay.
References “ American College of Endocrinology Position Statement on Inpatient Diabetes and Metabolic Control”, Endocrine Practice. Vol. 10, No. 1, 2004. American Diabetes Association Clinical Practice Recommendations 2009. Davidson, J., et al. Gestational Diabetes Caring for Yourself and Your Baby. International Diabetes Center, 3 rd edition, 2005.
References continued Diabetes Forecast. 2007 Resource Guide. Slocum, J. and Biastre, S. Gestational Diabetes, A Core Curriculum for Diabetes Education, Diabetes in the Life Cycle and Research. American Association of Diabetes Educators, 5 th edition, 2003. The Paradigm Platform of Insulin Pumps, Medtronic 2004.