Pregnancy and diabetes

Question 1

Describe common blood sugars in first trimester of pregnancy

Answer 1

Hypoglycemia occurs more commonly because insulin requirements decrease and morning sickness leads to decreased food intake

Question 2

As pregnancy progressive, what happens to insulin needs

Answer 2

Insulin needs increase due to weight gain and increased placental hormones
Woman with need more exogenous insulin

Question 3

Nutrition goal for gestational diabetes

Answer 3

Maintaining normal glucose while consuming enough calories and carbohydrates to promote appropriate weight gain you avoid maternal starvation ketosis

Question 4

Calorie restriction for gestational diabetes patients with a BMI over 30

Answer 4

A 30 to 33% calorie restriction, approximately 25 calories per kilogram actual body weight
This has been shown to reduce blood sugars and triglycerides with no increase in ketonuria