A 28-year-old woman at 24 weeks of gestation is diagnosed with gestational diabetes mellitus (GDM).
A 28-year-old woman at 24 weeks of gestation is diagnosed with gestational diabetes mellitus (GDM). Her fasting plasma glucose level is 6.8 mmol/L (122 mg/dL), and an ultrasound reveals polyhydramnios.
What is the most appropriate initial management?
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