The long-term implications of gestational diabetes primarily include an increased risk of developing

The correct answer is choice D. Lispro insulin.

Lispro insulin is a type of rapid-acting insulin that can provide blood glucose control within 15 minutes of injection.It is suitable for pregnant women with gestational diabetes who need to lower their blood sugar quickly after meals.

Choice A is wrong because regular insulin is a type of short-acting insulin that takes about 30 minutes to start working and lasts for 3 to 6 hours.It is not as fast as lispro insulin and may cause low blood sugar if taken too early before meals.

Choice B is wrong because NPH insulin is a type of intermediate-acting insulin that takes about 2 to 4 hours to start working and lasts for 12 to 18 hours.It is not suitable for rapid-acting blood glucose control and may cause low blood sugar if taken too often or at the wrong time.

Choice C is wrong because glargine insulin is a type of long-acting insulin that takes about 1 to 2 hours to start working and lasts for 24 hours.It is not suitable for rapid-acting blood glucose control and may cause low blood sugar if taken with other types of insulin.

Gestational diabetes is a condition in which a hormone made by the placenta prevents the body from using insulin effectively.

Glucose builds up in the blood instead of being absorbed by the cells.It can cause complications for the mother and the baby, such as high blood pressure, large birth weight, premature delivery, low blood sugar, and future diabetes.Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.

Insulin is a hormone that helps regulate blood glucose levels.There are different types of insulin that vary in how quickly they start working, how long they last, and how they are taken.

The correct answer is choice B. Walking, swimming, or prenatal yoga are moderate-intensity exercises that can improve insulin sensitivity.

This means that the body can use insulin more effectively to lower blood glucose levels.Exercise also has other benefits for pregnant women with gestational diabetes, such as reducing the risk of hypertension, preeclampsia, and macrosomia.

Choice A is wrong because engaging in high-intensity exercises such as weightlifting is not recommended for pregnant women with gestational diabetes.High-intensity exercises can increase blood pressure and stress hormones, which can raise blood glucose levels and cause complications.

Choice C is wrong because avoiding physical activity altogether is not recommended for pregnant women with gestational diabetes.Physical activity can help control blood glucose levels and prevent excessive weight gain, which can lead to adverse outcomes for both the mother and the baby.

Choice D is wrong because only strenuous exercises such as running are not effective in managing blood sugar levels.Strenuous exercises can also increase blood pressure and stress hormones, which can have negative effects on blood glucose levels and fetal well-being.Moderate-intensity exercises are preferred over strenuous exercises for pregnant women with gestational diabetes.

Normal ranges for blood glucose levels during pregnancy are 60 to 100 mg/dL before meals and bedtime snacks, and less than 140 mg/dL one hour after meals.