Question

A 25 year old primigravida diagnosed with type 1 diabetes mellitus reviews the insulin regimen with the nurse. The nurse reinforces the importance of regular prenatal care and explains changes in insulin requirements will include which of the following?

A. insulin requirements will increase during pregnancy and decrease after delivery
B. insulin requirements will decrease during pregnancy and increase after delivery
C. insulin requirements will increase during pregnancy and remain increased after delivery.
D. insulin requirements decrease during pregnancy and remain decreased after delivery.

Answer 1

Insulin requirements for a pregnant woman with type 1 diabetes will increase during pregnancy and remain increased after delivery.

Step-by-step explanation:

In a 25-year-old primigravida with type 1 diabetes mellitus, insulin requirements will increase during pregnancy and remain increased after delivery. This is because pregnancy causes hormonal changes that can increase insulin resistance, leading to higher insulin requirements. Additionally, blood glucose levels need to be tightly controlled during pregnancy to prevent complications for both the mother and the baby.