What should nursing care for a pregnant woman with Type 1 diabetes include?

For a pregnant woman with Type 1 diabetes, careful monitoring of glucose levels is paramount in nursing care. This is essential because well-controlled blood glucose levels reduce the risk of complications for both the mother and the fetus. High glucose levels can lead to adverse outcomes such as macrosomia (large baby), congenital anomalies, and increased risk for premature birth. Consistent monitoring helps to adjust insulin therapy as needed, allowing for appropriate management throughout the pregnancy.

While addressing weight gain, promoting a healthy lifestyle, and providing dietary guidance are also important aspects of care, these should not overshadow the critical need for glucose monitoring. This practice ensures that maternal and fetal well-being is maintained, making it the cornerstone of managing Type 1 diabetes during pregnancy.