GDM:Calculators for Appropriate Calorie Levels and Initial Insulin Dosage

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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

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