Which of the following should the nurse consider in the plan of care for a pregnant patient with diabetes mellitus who is taking insulin?
• During pregnancy, a woman will need more insulin because her metabolic rate and needs increase after the first trimester.
• As pregnancy progresses, increasing fetal demands for glucose increase the risk of symptomatic hypoglycemia. Close glucose monitoring is required.
• Approximately 3–10% of pregnancies are affected by abnormal glucose regulation.
• Gestational diabetes usually occurs midpoint in pregnancy when insulin resistance becomes noticeable.