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      <image:caption>100 mg/dL is the average glucose target goal in pregnancy</image:caption>
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      <image:caption>Glucose cut offs of 95 mg/dL for fasting, 140 mg/dL for 1 hour postprandial and 120 mg/dL at 2 hours postprandial are shown to be 2-3 standard deviations above the normal ranges demonstrated across these 11 studies</image:caption>
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      <image:caption>Starting out pregnancy at a normal A1c% 5.6% or below keeps the risk of congenital anomalies as low as possible.</image:caption>
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      <image:caption>Insulin needs decrease in the first trimester but steadily increase as pregnancy advances. This is caused mostly by growing placenta that makes hormones that interfere with insulin’s ability to get blood sugar and other fuels to the right tissues so that it will be available for baby. This is necessary at normal blood glucose levels but when there is already diabetes or prediabetes, too much sugar can be routed to baby.</image:caption>
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