Individual variability is significant and depends on starting weight, metabolic factors, medication adherence, dose optimization, lifestyle factors, and genetic variables
otherwise, you have a difficult commute or a challenging first few moments in the office ahead of you
When calorie intake drops sharply without adequate protein, the body breaks down muscle tissue for energy alongside fat
They will help you transition to appropriate diabetes management that is safe during pregnancy, ensure your blood glucose is well controlled before conception (which improves pregnancy outcomes), and will recommend pre-conception counselling and folic acid supplementation (5 mg daily until 12 weeks of pregnancy for women with diabetes)
That said, clinicians should be aware of and inquire about sexual side effects