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Your patient, a 25-year-old G1P0 girl who is 26 weeks pregnant, is seen because the results of her glucose tolerance test were abnormal. A venous plasma glucose level of 156 mg/dL was seen one hour after she received 50g of oral glucose one week earlier. Which of the following is the best course of management to take next?

Administer an oral, 3-hour 100 g glucose dose Begin insulin treatment Repeat the 50g oral glucose challenge Advise the patient to follow an American Diabetic Association diet plan

Correct Answer:

Administer an oral, 3-hour 100 g glucose dose

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