A patient with risk factors for GDM asks how to alter carbohydrate intake to blunt postprandial glucose spikes. Which practical strategy is most evidence-aligned?

• A. Distribute carbohydrate intake across smaller, balanced meals and combine carbohydrates with protein and fiber to reduce rapid postprandial glucose excursions.
• B. Eliminate all carbohydrates and consume only fat and protein which is universally safe and recommended for pregnant patients to prevent GDM.
• C. Replace all carbohydrate foods with sugar-sweetened beverages to maintain caloric intake but simplify carbohydrate counting and therefore reduce glucose variability.
• D. Consume most carbohydrates in a single late-night meal to increase fasting glucose and thereby normalize daytime glucose values.

Answer: (A)