A 52-year-old man with obesity and hypertension presents with thirst and nocturia. Random glucose is 16.8 mmol/L, HbA1c is 96 mmol/mol, ketones are

Question

A 52-year-old man with obesity and hypertension presents with thirst and nocturia. Random glucose is 16.8 mmol/L, HbA1c is 96 mmol/mol, ketones are negative, and he has no weight loss or vomiting. eGFR is 82 mL/min/1.73 m². What is the most appropriate management?

Accepted Answer

Diagnose type 2 diabetes, initiate lifestyle measures and pharmacotherapy promptly, and assess complications

Answer

Repeat HbA1c in six months before diagnosing diabetes

Answer

Treat with diet alone for the first year

Answer

Send him to emergency solely because HbA1c is above 86 mmol/mol

Answer

Start insulin pump therapy as mandatory first-line treatment

New type 2 diabetes — RACGP Fellowship MCQ

A 52-year-old man with obesity and hypertension presents with thirst and nocturia. Random glucose is 16.8 mmol/L, HbA1c is 96 mmol/mol, ketones are negative, and he has no weight loss or vomiting. eGFR is 82 mL/min/1.73 m². What is the most appropriate management?

A 52-year-old man with obesity and hypertension presents with thirst and nocturia. Random glucose is 16.8 mmol/L, HbA1c is 96 mmol/mol, ketones are negative, and he has no weight loss or vomiting. eGFR is 82 mL/min/1.73 m². What is the most appropriate management?