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Pregnancy: It is essential to maintain good control of the insulin treated (insulin-dependent or gestational diabetes) patient throughout pregnancy Insulin requirement usually decreases during the first trimester of pregnancy and increases during the second and third trimester. Women with diabetes should be advised to inform their doctors if they are pregnant or are contemplating pregnancy.
Careful monitoring of glucose control, as well as general health, is essential in pregnant patients with diabetes.
Breast-feeding: Women with diabetes who are lactating may require adjustments in insulin dose and/or diet.
