10-25-2008, 12:19 PM
A 40-year-old African American female comes to the office for a routine medical check up. She has no complaints. She has been smoking one pack of cigarettes daily for the last twenty years. Her mother and one maternal uncle have diabetes. Her height is 5'7" inches, and weight is 130 lbs. Her blood pressure is 122/80 mmHg, pulse is 80/min, respirations are 14/min and temperature is 37C (98F). She agrees to have diabetes mellitus screening. Her plasma glucose level after an overnight fast is 130 mg/dL. What is the most appropriate next step in the management of this patient?
A.Repeat fasting blood glucose measurement
B.Perform 75 g oral glucose tolerance test
C.Start therapy with oral hypoglycemic agents
D.Start therapy with insulin
E.Recommend lifestyle changes
A.Repeat fasting blood glucose measurement
B.Perform 75 g oral glucose tolerance test
C.Start therapy with oral hypoglycemic agents
D.Start therapy with insulin
E.Recommend lifestyle changes