Learning zone:
Diabetes in pregnancy
Resources and guidelines relating to diabetes in pregnancy, which are designed to help clinicians improve their practice.
NICE Guideline
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The Joint British Diabetes Societies for Inpatient care launched a set of useful guidelines in 2023, which can be accessed on their homepage. The guidelines relevant to pregnancy include: Managing diabetes and hyperglycaemia during labour and birth
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NICE guidance Diabetes in Pregnancy 2023
- ACSA standard 1.2.1.4 Local policy for pre-operative preparation including diabetic management
Management of diabetic ketoacidosis in antenatal patient
Overview of the Management of diabetic ketoacidosis in antenatal patient scenario
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Learners |
Multidisciplinary obstetric team; obstetricians, anaesthetists, midwives. Diabetic medical / obstetric team. Obstetric physicians |
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Suggested clinical learning outcomes |
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Suggested non- clinical learning outcomes |
Software: Hardware: Environment: Teamworking:
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Scenario |
The overview of the scenario is a known type 1 diabetic patient who goes into DKA as a result of an infection. You could combine this scenario with a Covid 19 simulation if it would help to practise that too. Otherwise the sepsis could be triggered by a UTI. 32 year old, P1, 30 weeks pregnant presents to triage with vomiting and headache. She gives a vague history of increased urinary frequency 2 days ago and since then has become increasingly unwell with headache and lethargy. Her blood sugars are high which is what has brought her to triage. She has reduced her insulin dose as she was not eating anything, Observations HR 130, BP 100 / 75 RR 30bpm saturation 99% on air. BM 22 mmol/L Lactate 3 |
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Debrief topics Following your simulation, consider how you will disseminate crucial learning points with the wider MDT.
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