<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 35-year-old woman, gravida 2, para 1, at 16 weeks gestation comes to the office for a prenatal visit. She reports increased urinary frequency but otherwise feels well. Pregnancy and delivery of her first child were uncomplicated. Her vital signs are within normal limits. Pelvic examination shows a uterus consistent in size with a 16-week gestation. Urinalysis shows mild glucosuria. Laboratory studies show a non-fasting serum glucose concentration of 110 mgdL. Which of the following is the most likely explanation for this patients glucosuria?? A: Decreased insulin production, B: Decreased SGLT2 expression, C: Increased glomerular filtration barrier permeability, D: Decreased insulin sensitivity, E: Increased glomerular filtration rate,  <response>: This is a question about gestational diabetes in a pregnant woman. The key findings are that the patient is 16 weeks pregnant, has increased urinary frequency, and glucosuria on urinalysis with a non-fasting glucose of 110 mgdL. These findings are consistent with gestational diabetes. The choices describe possible explanations for glucosuria. Decreased insulin production, decreased SGLT2 expression, and decreased insulin sensitivity are not likely in pregnancy. Increased glomerular filtration barrier permeability can occur but is not the most likely explanation here. The most likely cause of glucosuria in gestational diabetes is increased glomerular filtration rate.E: Increased glomerular filtration rate 