A 56-year-old male patient was seen for abnormal fasting glucose of 150mg/dL. His HbA1c was 10%. His body mass index is 32. What will be your initial management?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: C. Insulin
With HbA1c 10% the cohort sources recommend insulin as initial therapy (preferred when A1c >9.5% / >9%). Metformin is first-line for milder hyperglycemia, and lifestyle alone is for A1c near target. The bank note's ADA threshold (>10%) differs from the cohort's sources, which clearly cover 10%.
ليش كل خيار صح أو غلط
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A
ليش غلط
Non-insulin agents suit moderate hyperglycaemia; with severe hyperglycaemia (A1c above 9%) insulin is the agent of choice.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 6 -
B
ليش غلط
Metformin is the initial drug for A1C at or above target (>7.5 to 8), but at above 9.5 the lecture prefers insulin.
✓ RT - DM.pdf · p. 8 -
C
ليش صح
With an HbA1c above 9.5, insulin is the preferred initial therapy (his HbA1c is 10%).
✓ RT - DM.pdf · p. 8 -
D
ليش غلط
A thiazolidinedione is a non-insulin agent, which suits moderate hyperglycaemia; with severe hyperglycaemia (A1c above 9%) insulin is the agent of choice.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 6 -
E
ليش غلط
Lifestyle alone is reasonable only when A1C is near target (below 7.5); his is 10%.
✓ RT - DM.pdf · p. 8
- المصدر
- RT - DM.pdf · p. 8
Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 6
11• Diabetes Mellitus [Notes].pdf · p. 9 - المحاضرة
- Diabetes Mellitus · Endocrinology · Module B
- ظهر في
- Endo bank