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Diabetes Health Centre
Pregnancy |
Managing Diabetes in the Second Trimester
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Your nutritional needs increase
during the second trimester.
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Nutritional needs
During the second trimester, your nutritional requirements increase. We recommend you discuss your changing needs with a dietitian. You can also find information on nutrition during pregnancy at the
Health Canada Web site.
Monitoring
Continued blood glucose and urine ketone testing provide ongoing information useful in making changes to your diabetes management. For more about these tests please review the information in the first trimester section.
There are also a number of routine screening tests often used during pregnancy to help monitor your health and progress of the pregnancy.
Insulin Adjustment
Around 20 weeks' gestation, you will begin to need more insulin. Continued blood glucose monitoring and insulin adjustments are necessary to prevent elevated blood glucose levels.
Weight
An average weight gain of about 9lbs (4kg) is expected in this trimester.
Discomforts of the Second Trimester
Although morning sickness often ends by the second trimester, other discomforts may occur. Constipation is common in pregnancy because your intestinal muscles relax.
Drinking plenty of water may help, but avoid fruit juices as these can raise blood glucose. For more information about relieving constipation and other discomforts of pregnancy visit our Pregnancy Health Centre.
Back to Pregnancy with type 1 or type 2 diabetes
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