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Use enough insulin! Individuals with gestational, type 2 diabetes and /or obesity and pregnant are insulin-resistant and often require a total daily insulin dose as much as 1 unit/kg or more to achieve optimal control (over 100 units per day in a 100-kg patient!).
Regular insulin (U-100 and U-500), insulin aspart, insulin lispro (U-100 and U-200), NPH, and insulin detemir all carry a pregnancy category B. For these insulins, the FDA has received sufficient human data allowing these to be considered low risk in pregnancy.
24 lis 2017 · Insulin is the preferred agent for management of both type 1 diabetes and type 2 diabetes in pregnancy because it does not cross the placenta, and because oral agents are generally insufficient to overcome the insulin resistance in type 2 diabetes and are ineffective in type 1 diabetes.
5 lip 2024 · INTRODUCTION. Treatment of gestational diabetes mellitus (GDM) can improve pregnancy outcome. Many patients can achieve target glucose levels with nutritional therapy and moderate exercise alone, but up to 30 percent will require pharmacotherapy [1].
31 lip 2024 · This insulin dosage calculator was created to show you how to calculate insulin dose with as little effort as possible. Your insulin dose regimen should be prescribed by your doctor; however, you may still need to determine your mealtime insulin dose.
3 lut 2017 · What is the best insulin type and regimen for pregnant women with pre‐existing diabetes? What is the issue? The insulin needs of pregnant women with type 1 or 2 diabetes change during pregnancy. Insulin is available in many forms, which affect how often and when the insulin is given.
16 gru 2019 · 14.3 Preconception counseling should address the importance of achieving glucose levels as close to normal as is safely possible, ideally A1C <6.5% (48 mmol/mol), to reduce the risk of congenital anomalies, preeclampsia, macrosomia, and other complications.
