Sara 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 a healthy next step for Sara?

Question

Quizplus · Accepted Answer

Sara's blood glucose level indicates that she may have gestational diabetes. The best next step would be to attempt to normalize blood glucose levels by following a healthy diet and by exercising regularly. This can include monitoring carbohydrate intake, increasing fiber intake, consuming lean protein, and avoiding sugary and processed foods. Regular exercise can also help to control blood glucose levels. If her blood glucose levels do not improve with lifestyle modifications, medication may be necessary. It is important for Sara to continue to have routine doctor visits to monitor her and her baby's health throughout the pregnancy.

Sara Is a 37-Year-Old Hispanic Female in Her Second Pregnancy