Question

"A client at 6 weeks' gestation who has type 1 diabetes is attending the prenatal clinic for the first time. The nurse explains that during the first trimester insulin requirements may decrease because:

A. Body metabolism is sluggish in the first trimester
B. Morning sickness may lead to decreased food intake
C. Fetal requirements of glucose in this period are minimal
D. Hormones of pregnancy increase the body's need for insulin"

Answer 1

Insulin requirements may decrease during the first trimester of pregnancy in a client with type 1 diabetes due to morning sickness causing reduced food intake and a subsequent decrease in the need for insulin to manage blood glucose.

Step-by-step explanation:

A client at 6 weeks' gestation who has type 1 diabetes is attending the prenatal clinic for the first time. The nurse explains that during the first trimester insulin requirements may decrease because:

• Body metabolism is sluggish in the first trimester
• Morning sickness may lead to decreased food intake
• Fetal requirements of glucose in this period are minimal
• Hormones of pregnancy increase the body's need for insulin

The correct answer is B. Morning sickness may lead to decreased food intake. During the first trimester, many individuals experience nausea and vomiting, commonly known as morning sickness, which may occur at any time of day. This can lead to decreased food intake and consequently a reduced need for insulin to regulate blood glucose levels. In the case of type 1 diabetes, which is insulin-dependent, this could mean a temporary reduction in the amount of insulin required during this period.