During a prenatal visit a nurse is explaining dietary management to a woman with pregestational diabetes.The nurse evaluates that teaching has been effective when the woman states:

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Diet and insulin needs change during the pregnancy in direct correlation to hormonal changes and energy needs.In the third trimester,insulin needs may double or even quadruple.The diet is individualized to allow for increased fetal and metabolic requirements,with consideration of such factors as prepregnancy weight and dietary habits,overall health,ethnic background,lifestyle,stage of pregnancy,knowledge of nutrition,and insulin therapy.Energy needs are usually calculated on the basis of 30 to 35 calories per kilogram of ideal body weight.Dietary management during a diabetic pregnancy must be based on blood,not urine,glucose changes.

During a Prenatal Visit a Nurse Is Explaining Dietary Management