Between which weeks of gestation would a client with type 1 diabetes expect to increase her insulin dosage?

Between which weeks of gestation would a client with type 1 diabetes expect to increase her insulin dosage?

• A. 10th and 12th week of gestation
• B. 18th and 22nd weeks of gestation
• C. 24th and 28th weeks of gestation
• D. 36th and 40th weeks of gestation

Answer: (C)

Insulin needs rise during pregnancy because placental hormones create insulin resistance in the mother. This resistance develops as the pregnancy advances, especially from the mid-second trimester into the third trimester, so more insulin is required to keep blood glucose in range. The point when this increase typically begins is around the 24th to 28th weeks of gestation, with further adjustments often needed as the pregnancy continues.

Insulin needs rise during pregnancy because placental hormones create insulin resistance in the mother. This resistance develops as the pregnancy advances, especially from the mid-second trimester into the third trimester, so more insulin is required to keep blood glucose in range. The point when this increase typically begins is around the 24th to 28th weeks of gestation, with further adjustments often needed as the pregnancy continues.