Question

A 50-year-old man with obesity, hypertension and dyslipidaemia attends a preventive visit. Fasting plasma glucose is 7.2 mmol/L and HbA1c 7.0% (0.53). He has no symptoms. According to Diabetes Canada, what is the most appropriate next step?

Accepted Answer

Diagnose type 2 diabetes and start metformin plus lifestyle modification

Answer

Reassure and repeat fasting glucose in 3 years

Answer

Order a 2-hour 75 g OGTT before making any diagnosis

Answer

Begin insulin immediately

Answer

Label impaired fasting glucose and advise lifestyle only

Practice question

A 50-year-old man with obesity, hypertension and dyslipidaemia attends a preventive visit. Fasting plasma glucose is 7.2 mmol/L and HbA1c 7.0% (0.53). He has no symptoms. According to Diabetes Canada, what is the most appropriate next step?