Pregnant women should generally receive glucose infusion for no more than 3-5 days, and the specific time should be determined based on the blood sugar level, fetal condition, and medical advice. Intravenous glucose infusion is mainly used for situations such as gestational hypoglycemia, severe morning sickness, or preoperative energy supplementation. When hypoglycemia or severe vomiting occurs during pregnancy, resulting in inability to eat, short-term glucose infusion can quickly correct energy deficiency. Usually, the daily infusion volume is controlled at 200-300 grams, accompanied by electrolyte monitoring. During the infusion period, regular blood glucose monitoring is necessary to avoid abnormal fetal insulin secretion caused by high blood sugar. Some patients with gestational diabetes may need to use insulin to regulate blood sugar synchronously, at this time, the infusion time will be shorter. When pregnant women have ketoacidosis, severe malnutrition, or require emergency surgery, the infusion may be extended to about one week. However, long-term infusion may lead to phlebitis, electrolyte imbalance, or insulin resistance. For patients with gestational diabetes, maternal and infant indicators should be strictly monitored after continuous infusion for more than 24 hours to prevent macrosomia or neonatal hypoglycemia.
During glucose infusion, a small amount of multi meal diet should be combined, gradually transitioning to normal eating. Choose low glycemic index foods such as oats, whole wheat bread, etc. to maintain blood sugar stability. If there are symptoms of low blood sugar such as hand tremors and palpitations, or high blood sugar reactions such as thirst and polyuria, immediately inform the doctor to adjust the plan. After delivery, the glucose tolerance test should be reviewed to exclude the potential risk of diabetes.
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