Wilhelmina is Class B, insulin dependent diabetic, and is receiving prenatal care in a high-risk obstetric clinic. Her diabetes has been well controlled since her initial diagnosis. The nurse implements a teaching plan for a pregnant client who was diagnosed with diabetes mellitus. The nurse understands that the diabetic mother's metabolism is significantly altered during pregnancy as a result of: a. The increased effect of insulin during pregnancy  b. An increase in the glucose tolerance level of the blood c. The effect of hormones produced in pregnancy on carbohydrate and lipid metabolism d. The lower renal threshold for glucose

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