Читать книгу Emergency Medical Services - Группа авторов - Страница 449

EMS clinicians may occasionally encounter glucose derangements in pregnant patients. Insulin resistance is increased during pregnancy. The incidence of gestational diabetes was 8.9% during 2007‐2014 [5]. Current medical practice is to intensively manage glucose in the pregnant patient to avoid complications such as macrosomia or intrauterine fetal death. Because of this very tight glucose control, pregnant patients occasionally experience hypoglycemia. Alternatively, given the emphasis on tight glycemic control, hyperglycemia is rare, with the exception of the noncompliant or undiagnosed patient. Treatment of hypoglycemia and hyperglycemia in the pregnant patient is no different than that in the nonpregnant patient [39, 40].