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孕期如何调整胰岛素剂量?

来源:华人健康网 | 发布时间:2010-12-09 10:06:04 | www.chinesejk.com

糖尿病女性怀孕期间应禁用口服降糖药,改用胰岛素治疗。因口服降糖药能通过胎盘,使胎儿出现低血糖,口服降糖药还可导致胎儿生长发育异常。那么,孕妇应如何调整胰岛素剂量呢?

孕早期(妊娠头3个月),胰岛素用量变化不大,可根据空腹及餐后血糖水平调整胰岛素剂量。

孕中期,随着身体对胰岛素敏感性逐渐降低,胰岛素用量应逐渐增加。

孕晚期,胰岛素用量一般比孕前增加2/3左右。若在胰岛素使用过程中,出现饥饿、出汗、心悸等低血糖症状,应适当进食加以纠正。妊娠中晚期最好以少吃多餐的方法来避免和纠正胰岛素加量后可能带来的低血糖反应。

(编辑:阳阳 )

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