Question of the Week | How do Pregnancy Hormones affect Glucose?

ML has type 1 diabetes, her A1c is on target and she and is hoping to get pregnant in the upcoming year. 

Which of the following statement best reflects the physiologic changes associated with pregnancy?

  1. A sharp increase in glucose levels in the first trimester due to placental hormones.
  2. A decrease in insulin needs during the second and third trimester.
  3. A minimal fluctuation in insulin needs until about 36 weeks.
  4. A decrease in insulin needs during the first 16 weeks.

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Level 2 | Pregnancy & Diabetes Standards | 1.5 CEs

People living with diabetes who are pregnant are confronted with a variety of issues that require special attention, education, and understanding. 

This course reviews those special needs while focusing on Gestational Diabetes and Pre-Existing Diabetes. Included are the most recent diagnostic criteria, management goals, and prevention of complications during pregnancy. A helpful review for the CDCES Exam and for those who want more information on people who are pregnant and live with Diabetes.

Topics include:

  • Three issues that affect pregnancy with diabetes
  • The unique attributes of pre-existing diabetes in pregnancy and gestational diabetes
  • Diagnostic criteria and management goals for gestational diabetes
  • Potential short term and long term complications of fetal exposure to hypoglycemia
  • Prevention measures to keep mother and baby healthy

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