Sliding scale in labour - type 1 diabetes

[PerryHan]

I have had type 1 diabetics for 17+ years and use a CGM to ensure my glucose is well controlled, even throughout pregnancy and into the third trimester I have been 80% or more in range.

Currently at 30 weeks pregnant my baby is measuring at just below average size and is as far as I can see, healthy. I have been told that I will need to be induced at 37 weeks which I have come to accept however have been told that ‘as standard’ I will be put on a sliding scale rather than being able to manage my sugars as I usually would. Do I have the right to refuse the sliding scale during labour?

 

[ironman81]

I was told you can refuse it although they don’t advertise it, I’m a capable individual and sliding scale is a nightmare (for patients and staff (hourly waking of patients for blood sugars which in reality is keeping patients awake until taken off sliding scale) which can be Day which is essentially torture, that being said, you need to discuss the risk factors associated with high bs in pregnancy as I’m a male and I can’t appreciate the needs of a pregnant woman, all the best with your delivery xx

 

[Sarahc1984]

I have had type 1 diabetics for 17+ years and use a CGM to ensure my glucose is well controlled, even throughout pregnancy and into the third trimester I have been 80% or more in range.

Currently at 30 weeks pregnant my baby is measuring at just below average size and is as far as I can see, healthy. I have been told that I will need to be induced at 37 weeks which I have come to accept however have been told that ‘as standard’ I will be put on a sliding scale rather than being able to manage my sugars as I usually would. Do I have the right to refuse the sliding scale during labour?

Hi there, just wondering what the outcome was... did you end up using the sliding scale during labour?

 

[PerryHan]

I delivered a healthy baby girl at 37+5 naturally and refused to have a sliding scale. I changed to Fiasp during late pregnancy which helped as correction doses worked quickly during labour which meant I could refuse the sliding scale!

 

[Sarahc1984]

I delivered a healthy baby girl at 37+5 naturally and refused to have a sliding scale. I changed to Fiasp during late pregnancy which helped as correction doses worked quickly during labour which meant I could refuse the sliding scale!

Thanks so much for your speedy reply! Great to know and super congrats on your healthy baby