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Mickie is a 37-year-old Hispanic female in her second pregnancy. Her first pregnancy resulted in a healthy baby girl who weighed 9 lb 3 oz. Her prepregnancy information is as follows: BMI = 28; height = 5?4?; and weight = 165 lb (75 kg). She did not manage to shed all the weight she gained before getting pregnant again, and at 24 weeks, she has gained 20 lb and currently weighs 185 lb (84 kg). Her diet history reveals an average calorie intake of 2300 calories per day. Two hours after her 75-g glucose tolerance test is administered, her blood glucose is 155 mg/dL.
What would be the next step for Mickie?
A. Go home and continue to have routine doctor visits.
B. Attempt to normalize blood glucose levels by following a healthy diet and by exercising regularly.
C. Perform a 50-g glucose tolerance test while fasting.
D. Begin a calorie-controlled diet and visit her doctor in 2 weeks to recheck her weight.
E. Cut caloric intake to less than 1500 calories per day.
Answer: B
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