Case Study#3

Susan is a 26-year-old G1P0 at 6 weeks of gestationwith Type 2 diabetes. Her body mass index (BMI) is 32. Herhemoglobin A1c is 9. She takes glyburide 10 mg by mouth daily. Thephysician has switched her to insulin at this time.

What is the nursing priority at this time?

What should Susan be taught about insulin needs inpregnancy?

What additional risk factor does Susan have?

How should Susan be counseled regarding weight gain inpregnancy?

What advice can be given to Susan regardingexercise?

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