Early Recovery After Cesarean Delivery - Maternal Glucose Homeostasis Following Preoperative Glucose Dose

Study Overview
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Brief Summary
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Diabetic parturients planned for cesarean delivery will be recruited for the study. They will receive a fixed glucose dose to mimize the effects of fasting preoperatively and their blood glucose levels will be monitored.

Detailed Description
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Informed voluntary parturients planned for cesarean delivery will be informed about the study. The parturients will get prepacked glucose drink containing 100 g and 50 g glucose, respectively. They will consume the 100 g of glucose the night before the planned operation and the 50 g on the morning of the planned cesarean delivery. Their blood glucose level will be monitored by percutaneous continuous blood glucose monitoring every 30 minutes for 2 hours following the glucose dose in the evening and for four hours in the morning of the operation. The subjective well being of these parturients will be also qualitatively assessed.

Official Title
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Early Recovery After Cesarean Delivery - Maternal Glucose Homeostasis Following Preoperative Glucose Dose in Diabetic Parturients

Conditions
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Gestational Diabetes, Cesarean Section Complications

Intervention / Treatment
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* Dietary Supplement: Oral glucose in liquid form


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteers to participate in the study Diabetes, either gestational or type II Planned for cesarean delivery Exclusion Criteria: Type I diabetes

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Gestational diabetes<br>Any parturient who after information agrees to participate in the study. The treatment of the gestational diabetes may be by diet, metformin or insulin according to the hospital's normal protocol. | Dietary Supplement: Oral glucose in liquid form<br>* A glucose containing drink that has a fixed dose of 25 g of glucose per can.<br>* Other names: Pre-op drink;|
| Type II diabetes<br>Any parturient who after information agrees to participate in the study. The treatment of the diabetes may be by diet, metformin or insulin according to the hospital's normal protocol. | Dietary Supplement: Oral glucose in liquid form<br>* A glucose containing drink that has a fixed dose of 25 g of glucose per can.<br>* Other names: Pre-op drink;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Increase of blood glucose following the oral glucose dose | The effect of oral glucose dose on the parturient's blood glucose level (mM) | 4 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal subjective well being after oral glucose dose during the preoperative fasting period | subjective assessment by the parturient (categorial) | 4 hours |