A 54-year-old woman with BMI 32 kg/m2 returns after screening showed A1c 6.1%. She has no polyuria or weight loss. Blood pressure is 126/78 mm Hg and

Question

A 54-year-old woman with BMI 32 kg/m2 returns after screening showed A1c 6.1%. She has no polyuria or weight loss. Blood pressure is 126/78 mm Hg and lipid profile is mildly abnormal. She is motivated to reduce diabetes risk. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Refer to an intensive lifestyle-change program

Answer

Repeat testing in 5 years without intervention

Answer

Start basal insulin

Answer

Recommend a ketogenic diet without monitoring

Answer

Order pancreatic autoantibodies

Prediabetes follow-up — USMLE Step 3 MCQ

A 54-year-old woman with BMI 32 kg/m2 returns after screening showed A1c 6.1%. She has no polyuria or weight loss. Blood pressure is 126/78 mm Hg and lipid profile is mildly abnormal. She is motivated to reduce diabetes risk. Which of the following would you recommend at the follow-up visit?