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Med."],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Optimal glycaemic control before and during pregnancy improves both maternal and fetal outcomes. This article summarizes the recently published guidelines on the management of glycaemic control in pregnant women with diabetes on obstetric wards and delivery units produced by the Joint British Diabetes Societies for Inpatient Care and available in full at <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.diabetes.org.uk\/joint-british-diabetes-society\">www.diabetes.org.uk\/joint-british-diabetes-society<\/jats:ext-link> and <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/abcd.care\/joint-british-diabetes-societies-jbds-inpatient-care-group\">https:\/\/abcd.care\/joint-british-diabetes-societies-jbds-inpatient-care-group<\/jats:ext-link>. Hyperglycaemia following steroid administration can be managed by variable rate intravenous insulin infusion (<jats:styled-content style=\"fixed-case\">VRIII<\/jats:styled-content>) or continuous subcutaneous insulin infusion (<jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content>) in women who are willing and able to safely self\u2010manage insulin dose adjustment. All women with diabetes should have capillary blood glucose (<jats:styled-content style=\"fixed-case\">CBG<\/jats:styled-content>) measured hourly once they are in established labour. Those who are found to be higher than 7\u00a0mmol\/l on two consecutive occasions should be started on <jats:styled-content style=\"fixed-case\">VRIII<\/jats:styled-content>. If general anaesthesia is used, <jats:styled-content style=\"fixed-case\">CBG<\/jats:styled-content> should be monitored every 30\u00a0min in the theatre. Both the <jats:styled-content style=\"fixed-case\">VRIII<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CSII<\/jats:styled-content> rate should be reduced by at least 50% once the placenta is delivered. The insulin dose needed after delivery in insulin\u2010treated Type 2 and Type 1 diabetes is usually 25% less than the doses needed at the end of first trimester. Additional snacks may be needed after delivery especially if breastfeeding. Stop all anti\u2010diabetes medications after delivery in gestational diabetes. Continue to monitor <jats:styled-content style=\"fixed-case\">CBG<\/jats:styled-content> before and 1\u00a0h after meals for up to 24\u00a0h after delivery to pick up any pre\u2010existing diabetes or new\u2010onset diabetes in pregnancy. Women with Type 2 diabetes on oral treatment can continue to take metformin after birth.<\/jats:p>","DOI":"10.1111\/dme.13674","type":"journal-article","created":{"date-parts":[[2018,7,17]],"date-time":"2018-07-17T13:26:50Z","timestamp":1531834010000},"page":"1005-1010","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Managing hyperglycaemia during antenatal steroid administration, labour and birth in pregnant women with diabetes"],"prefix":"10.1111","volume":"35","author":[{"given":"U.","family":"Dashora","sequence":"first","affiliation":[{"name":"Conquest Hospital St Leonards on Sea UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6876-8727","authenticated-orcid":false,"given":"H. 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