A 57-year-old male known case of HTN and coronary artery disease, recently diagnosed with prediabetes, and he is on life style modification, in the follow up his HbA1c is 6.8%, What's the appropriate management?
سؤال مجاني 7 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: B. Start on metformin
HbA1c 6.8% is now in the diabetic range (≥6.5%) despite lifestyle modification, so drug therapy is indicated and metformin is the best initial agent. Continuing lifestyle alone has already failed; insulin is reserved for severe hyperglycemia, and gliclazide is not first-line.
ليش كل خيار صح أو غلط
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A
ليش غلط
Lifestyle (conservative) therapy has already been tried; when diet and exercise are insufficient, medication is added, so continuing it alone is not enough.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 6 -
B
ليش صح
Drug therapy is added when diet and exercise are insufficient, and metformin is the best initial drug; his HbA1c is now 6.8% despite lifestyle changes.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 6 -
C
ليش غلط
Insulin is the agent of choice only for severe hyperglycemia (fasting glucose above 250 or A1c above 9%); his A1c of 6.8% is far below that.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 6 -
D
ليش غلط
Gliclazide is not the starting drug: treatment begins with one agent, metformin being the best initial drug, and a second class is added only if monotherapy fails.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 6
- المصدر
- Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 6
DM summary.pdf · p. 4 - المحاضرة
- Diabetes Mellitus · Endocrinology · Module B
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