Pregnancy Diabetes



DM Treatment thru Pregnancy


  • DM before pregnancy:
    • – A1C <7%
    • – Diet and excerize then meds
    • – Change orals –> Insulin
  • During pregnancy
    • – Increased insulin demand
    • -Basal bolus
    • – Post-prandial sugar log
  • Post Pregnancy
    • – Decreased insulin demand
    • – Same day or next day decreased insulin
  • Uncontrolled sugar can cause
    • – Macrosomia
    • – Transposition of the great vessels

Gestational DM