A woman with type 1 diabetes recently became pregnant. The nurse plans a blood glucose testing schedule for her. What is the recommended monitoring schedule?
a. Before each meal and before bed
b. In the morning for a fasting level and at 4 PM for the peak level
c. Six or seven times a day
d. Three times a day, along with urine glucose testing
C
A pregnant woman with type 1 diabetes must have frequent blood sugar monitoring (eg, six or seven times a day) to manage both the mother and fetus so that no teratogenic effects occur and damage the fetus.
Monitoring the blood sugar level before meals and HS is not significant enough to provide the necessary glycemic control.
Morning and 4 PM monitoring is not enough to provide glycemic control.
Urine glucose testing is not sensitive enough to aid glycemic control, and monitoring three times a day is not enough.
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