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Diabetes in labour & postnatal analgesia
Glucose targets and breastfeeding-safe pain relief.
Source: NICE NG3 · MHRADiabetes in labour
| Target | Capillary glucose 4–7 mmol/L, hourly. |
|---|---|
| VRIII | 50 units soluble insulin in 50 ml saline (1 unit/ml) with glucose-potassium fluid; use local chart. |
| After birth | Stop for GDM; roughly halve for pre-existing diabetes. |
Analgesia when breastfeeding
ParacetamolPain1 g four times daily (max 4 g/day; less if <50 kg).
IbuprofenPain200–400 mg three times daily with food.⚠ Avoid in severe PET, AKI, asthma sensitivity.
CodeinePainAvoid when breastfeeding (MHRA).⚠ Infant opioid toxicity risk.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.