Do diabetics need to take insulin in the early stages of pregnancy?

Patient's question:

My cousin is pregnant, and our whole family is very happy and excited. But when my cousin went for a thorough check-up, she found out she had diabetes. Do you need to inject insulin in the early stages of gestational diabetes?

Doctor's answer:

Diabetes can be treated with insulin, and insulin is only used to control blood sugar. Dietary control is very important. The ideal dietary control goal is to ensure and provide the necessary calories and nutrients for pregnancy while avoiding post-meal hyperglycemia or hunger ketosis, ensuring the normal growth and development of the fetus. Insulin is the main treatment drug for diabetes and cannot be controlled through dietary management. Therefore, when a diabetic pregnant woman has excessively high blood sugar that cannot be managed through diet and exercise, insulin must be used to control blood sugar and ensure the safety of both the mother and the baby.

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