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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

    Recommended Weight Gain:

      
       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

     

    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

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    Created: 12/18/2002
    Last update: 1/2/2003