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

Increase the dose of insulin after 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 increases the risk of symptomatic hypoglycemia. Tight glucose monitoring is required.

•Approximately 3-10% of pregnancies are affected by abnormal glucose regulation.

•Gestational diabetes usually occurs midpoint of pregnancy when insulin resistance becomes noticeable.

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