MKSAP: 55-year-old man is evaluated following a screening for type 2 diabetes mellitus

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated following a screening for type 2 diabetes mellitus. He is asymptomatic. He has a history of hypertension and hyperlipidemia. There is no history of anemia, liver disease, or kidney disease. Medications are lisinopril and rosuvastatin. On physical examination, blood pressure is 123/76 mm Hg and pulse rate is 72/min. His body-mass index (BMI) is 28. The remainder of the examination is unremarkable. Laboratory studies show hematocrit 45.6%, creatinine 1.0 mg/dL (88.4 µmol/L), fasting glucose 128 mg/dL (7.1 mmol/L), and HbA1c 5.6%. Which of the following is the most appropriate diagnostic test to perform next? A. Fasting plasma glucose B. HbA1c C. Oral glucose tolerance test D. Random blood glucose Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Diabetes Source Type: blogs