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 Gestational Diabetes: Calculation of Caloric
  Requirements and Initial Insulin Dose

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   Calculation of Appropriate Calorie Levels

Height:   

feet      inches

Prepregnancy    
weight in pounds:   

Age :   

Activity level:   

BedrestAmbulatory Moderate Exercise

Trimester:   

First TrimesterSecond or Third Trimester


BMI=   Ideal Body Weight:  pounds
Desirable Weight range:
pounds
Daily Energy Needs:   Calories

 

  
   Guidelines for the Calculation of Initial Insulin Dose

Weeks of Gestation Total Daily Insulin
Week 1-18 0.7 U/kg  actual body weight
Weeks 18-26 0.8 U/kg  actual body weight
Weeks 26-36 0.9 U/kg  actual body weight
Weeks 36-40 1.0 U/kg  actual body weight

Weight (current) in pounds?       Insulin dose? units/kg/day 


Calculated Initial Insulin Regimen

AM Reg      AM NPH PM Reg     PM  NPH
NPH may be given separately at hour of sleep to avoid early morning hypoglycemia.


 

REFERENCES
    1. Guidelines for Care, California Diabetes and Pregnancy Program,2002
    2. Jovanovic L. Role of diet and insulin treatment of diabetes in pregnancy. Clin Obstet 
        Gynecol 2000; 43(1): 46-55

 All calculations must be confirmed before use. The suggested results are not a substitute for clinical judgment. Neither Perinatology.com nor any other party involved in the preparation or publication of this site shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.

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