A pregnant woman has been diagnosed with gestational diabetes. She asks the nurse whether that means she will have to take insulin. The nurse's best response is:
a. "Women who develop diabetes during pregnancy usually need to take insulin for the rest of their lives."
b. "Oral diabetes medications are usually ordered during pregnancy."
c. "Some women need insulin, but you may be able to control your diabetes with diet."
d. "You will probably have to switch to oral medications after the baby is born."
ANS: C
Only 10% to 15% of women with gestational diabetes require insulin during pregnancy. Oral diabetes medications cannot be used because they can harm the fetus. Most women with gestational diabetes who require insulin will be able to discontinue the insulin after the birth of the baby.
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