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Dalton LaBarge
A 33yF G4P3104 presents for follow-up 4 weeks s/p C/S for LGA neonate and GDM. She feels like she has been slow to “get back to normal,” and reports having low energy. She has gained 5lbs since hospital discharge. She attempted breastfeeding but switched to formula because her milk production was inconsistent. Her surgical incision is healing adequately. Her postpartum depression screen is negative. Today’s outpatient labs show the following: Serum Fasting Glucose: 120 mg/dl (nl <100) 2-hr Glucose Challenge: 189 mg/dl (nl <140) What is the next best step in managing this patient’s condition?
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