Which of the following should the nurse consider in the plan of care for a pregnant patient with diabetes mellitus who is taking insulin?

The physician will increase the dose of insulin after the first trimester.


• 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.

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