[Insulin therapy of patients with diabetes mellitus after abdominal delivery]. / Insulinoterapiia bol'nykh sakharnym diabetom pri abdominal'nom rodorazreshenii.

A strategy of insulin treatment of mothers with diabetes mellitus at abdominal delivery has been developed. For the first 3 days after cesarean section, maternal glycemia was measured every 5 hrs and followed by simple short-acting insulin correction where necessary. On day 4-5 after resuming a normal diet (table No. 9), the puerperants were switched to long-acting insulin preparations. It was only by day 8-9 that the majority of the patients (87%) needed the same insulin dose as they used prior to the conception. This insulin regimen was used in 62 cases of abdominal delivery and prevented a decompensation of diabetes mellitus in all of those.