PREGNANCY AND PUMP Flashcards
What is a common concern for patients in the first trimester of pregnancy regarding diabetes management?
Suboptimal glucose control
Patients often worry about maintaining proper glucose levels during early pregnancy.
Why is reassurance alone not sufficient for managing glucose control in the first trimester?
First trimester patterns are common but need addressing
It is important to actively manage glucose levels rather than relying solely on reassurance.
What challenges do automated insulin delivery systems face during pregnancy?
Challenges include:
* Lower insulin sensitivity before 16 weeks
* Unique glucose excursions during pregnancy
* Uncertain accuracy of continuous glucose monitoring
These factors can impact the effectiveness of automated systems.
What is a potential issue with hybrid closed-loop pumps during pregnancy?
They may be problematic due to rapid insulin needs changes and potential for increased glycemic instability
The dynamic nature of insulin needs during pregnancy can make these systems less reliable.
What is recommended to manage mild hypoglycemia in pregnant patients using insulin pumps?
Turn off the automated insulin delivery system temporarily
This helps prevent rebound hyperglycemia.
When might a reassessment of automated insulin delivery use be necessary during pregnancy?
Based on target blood glucose levels
Adjustments may be needed as pregnancy progresses.
Is discontinuation of insulin pump therapy generally recommended during pregnancy?
No, it is not generally recommended
Continuous insulin therapy is important for managing diabetes during pregnancy.
Should continuous glucose monitoring be discontinued during pregnancy?
No, it should not be discontinued
Continuous monitoring can reduce risks of macrosomia and neonatal hypoglycemia.
What effect would increasing basal rates have on blood glucose levels during pregnancy?
It would worsen rebound hyperglycemia
Therefore, increasing basal rates is not advised.
