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USMLE 2CK Practice Question for July 31st

A 28-year-old primigravid woman at 26 weeks' gestation comes to the office for routine prenatal care. Her pregnancy has been uncomplicated thus far. She reports good fetal movement. She has gained a total of 8.2 kg (18 lb) in pregnancy, with a pre-pregnancy weight of 83.9 kg (185 lb). She is 165 cm (5 ft 5 in) tall; pre-pregnancy BMI was 30.5 kg/m2. Her blood pressure is 126/80 mm Hg. Fundal height is consistent with gestational age at 27 cm and fetal heart is 140/min. She has no proteinuria. She is given a 50-g glucose load and one hour later, her serum glucose concentration is 180 mg/dL. She is asked to return the next day in a fasting state. The next day her fasting serum glucose is 120 mg/dL. What is the most appropriate next step in management?

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