A 39-year-old man with BMI 31 kg/m2 comes for a wellness visit. He has no polyuria, polydipsia, or known diabetes. Blood pressure is 128/78 mm Hg.

Question

A 39-year-old man with BMI 31 kg/m2 comes for a wellness visit. He has no polyuria, polydipsia, or known diabetes. Blood pressure is 128/78 mm Hg. His father has type 2 diabetes. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Screen for prediabetes and type 2 diabetes now

Answer

Delay screening until age 50 years

Answer

Screen with fasting insulin concentration

Answer

Screen after symptoms develop

Answer

Use urine glucose testing as the preferred test

Type 2 diabetes screening — USMLE Step 3 MCQ

A 39-year-old man with BMI 31 kg/m2 comes for a wellness visit. He has no polyuria, polydipsia, or known diabetes. Blood pressure is 128/78 mm Hg. His father has type 2 diabetes. Which of the following is the most appropriate screening recommendation?