Sick Day Rules

Hypoglycemia is a concern if the woman is ill and consuming inadequate calories. All pregnant women with preexisting diabetes should be aware of hypoglycemia symptoms, which range from sweating, blurred vision, nervousness, anxiety, headache, weakness, or in severe cases, seizures or unconsciousness. The treatment for hypoglycemia depends on the severity of the symptoms. Mild-to-moderate symptoms are treated with 15 g of carbohydrate if the blood glucose level is <60 mg/dl. This is repeated at 15 minutes later if the blood glucose level remains <60 mg/dl. If severe hypoglycemia occurs, either glucagons or intravenous glucose is used [48].

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