Which client might need insulin during their pregnancy?

Insulin is a crucial medication for managing blood glucose levels, especially during pregnancy. In this context, a woman in the third trimester with elevated blood glucose levels may require insulin to maintain proper glucose control. Elevated blood glucose levels during pregnancy can lead to complications such as gestational diabetes, which can negatively impact both the mother and the developing fetus. In the third trimester, the body's insulin resistance increases due to hormonal changes, making it essential for some women to receive insulin to prevent hyperglycemia. Proper management through insulin therapy can help ensure a healthier pregnancy outcome by stabilizing blood sugar levels and reducing risks associated with high glucose during this critical period.

Other scenarios, such as a woman with controlled diabetes, might not require insulin if her blood sugar levels are well-managed through diet or oral medications. Similarly, a woman experiencing nausea or a woman with a healthy BMI might not be at risk for elevated blood glucose or require insulin therapy. Hence, the need for insulin during pregnancy is particularly indicated for those who exhibit raised blood glucose levels, especially in the later stages when the risk of complications is heightened.