RT Book, Section A1 Rogers, Vanessa L. A1 Roberts, Scott W. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. A2 Gandhi, Monica SR Print(0) ID 1202069846 T1 Diabetes Mellitus T2 Current Medical Diagnosis & Treatment 2024 YR 2024 FD 2024 PB McGraw-Hill Education PP New York, NY SN 9781265556037 LK accessmedicine.mhmedical.com/content.aspx?aid=1202069846 RD 2024/11/13 AB Normal pregnancy can be characterized as a state of increased insulin resistance that helps ensure a steady stream of glucose delivery to the developing fetus. Thus, both mild fasting hypoglycemia and postprandial hyperglycemia are physiologic. These metabolic changes are felt to be hormonally mediated with likely contributions from human placental lactogen, estrogen, and progesterone.