5th May 2024

A 30-year-old woman, 28 weeks pregnant, is diagnosed with gestational diabetes mellitus (GDM) after a fasting plasma glucose test shows a level of 7.2 mmol/L (130 mg/dL).

A 30-year-old woman, 28 weeks pregnant, is diagnosed with gestational diabetes mellitus (GDM) after a fasting plasma glucose test shows a level of 7.2 mmol/L (130 mg/dL). She has no history of diabetes outside of pregnancy and reports no complications.

Which is the most appropriate initial management?