In assessing the knowledge of a pregestational woman with type 1 diabetes concerning changing insulin needs during pregnancy, the nurse recognizes that further teaching is warranted when the woman states:
A) "I will need to increase my insulin dosage during the first 3 months of pregnancy."
B) "Insulin dosage will likely need to be increased during the second and third trimesters."
C) "Episodes of hypoglycemia are more likely to occur during the first 3 months."
D) "Insulin needs should return to normal within 7 to 10 days after birth if I am bottle-feeding."

Question

Quizplus · Accepted Answer

Insulin needs typically decrease during the first trimester due to increased insulin sensitivity and lower levels of counter-regulatory hormones. Therefore, stating that insulin dosage needs to increase during the first trimester indicates a misunderstanding.

In Assessing the Knowledge of a Pregestational Woman with Type