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Diabetic parturients planned for cesarean delivery will be recruited for the study. They will receive a fixed glucose dose to mimize the effects of fasting preoperatively and their blood glucose levels will be monitored.
Informed voluntary parturients planned for cesarean delivery will be informed about the study. The parturients will get prepacked glucose drink containing 100 g and 50 g glucose, respectively. They will consume the 100 g of glucose the night before the planned operation and the 50 g on the morning of the planned cesarean delivery. Their blood glucose level will be monitored by percutaneous continuous blood glucose monitoring every 30 minutes for 2 hours following the glucose dose in the evening and for four hours in the morning of the operation.
The subjective well being of these parturients will be also qualitatively assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gestational diabetes | Any parturient who after information agrees to participate in the study. The treatment of the gestational diabetes may be by diet, metformin or insulin according to the hospital's normal protocol. |
| |
| Type II diabetes | Any parturient who after information agrees to participate in the study. The treatment of the diabetes may be by diet, metformin or insulin according to the hospital's normal protocol. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral glucose in liquid form | Dietary Supplement | A glucose containing drink that has a fixed dose of 25 g of glucose per can. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Increase of blood glucose following the oral glucose dose | The effect of oral glucose dose on the parturient's blood glucose level (mM) | 4 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal subjective well being after oral glucose dose during the preoperative fasting period | subjective assessment by the parturient (categorial) | 4 hours |
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Inclusion Criteria:
Exclusion Criteria:
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Diabetic parturients excluding type I diabetics who visit the Helsinki University Central Hospital/Women's hospital for the treatment of their diabetes during pregnancy and are planned for cesarean delivery.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marja Kaijomaa, MD PhD | Contact | 358504279650 | marja.kaijomaa@hus.fi | |
| Antti Vaananen, MD PhD | Contact | 358504271850 | antti.vaananen@hus.fi |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HUS/Women's hospital dept of obstetrics | Helsinki | 00029 | Finland |
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| ID | Term |
|---|---|
| D016640 | Diabetes, Gestational |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D003920 | Diabetes Mellitus |
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| ID | Term |
|---|---|
| D005947 | Glucose |
| ID | Term |
|---|---|
| D006601 | Hexoses |
| D009005 | Monosaccharides |
| D000073893 | Sugars |
| D002241 | Carbohydrates |
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| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |