For women with type 1 diabetes, good metabolic control is especially important at the time of conception and during the first trimester to prevent
a. macrosomia.
b. fetal malformations.
c. nutrient deficiencies.
d. excessive weight gain.
B
In women with type 1 diabetes, good metabolic control at the time of conception and during the first trimester helps prevent fetal malformations. Macrosomia is related to hyperglycemia in the second and third trimesters. Metabolic control does not affect nutrient deficiencies. Excessive weight gain may exacerbate poor metabolic control, but poor metabolic control does not usually cause weight gain.
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