A woman who is pregnant develops gestational diabetes.The NP's initial action is to:

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Patients with gestational diabetes should be treated with diet and exercise,with insulin added as needed for poor control.There is insufficient evidence to support the use of oral antidiabetic agents during pregnancy,and some of these are pregnancy category D.Insulin injections may be used but are not the initial intervention.Although glucose levels will return to prepregnancy values in the postpartum period,the NP must initiate therapy.

A Woman Who Is Pregnant Develops Gestational Diabetes