07-31-2006, 08:39 AM
40 year old man presents to your office with a 2 month history of polyuria, nocturia, polydipsia, polyphagia and a 30 pound weight loss despite having a "great" appetite. Eight hours prior he had drank a milkshake. A FSG in the office is 250 and a urine dipstick shows 4+ glucose only. His office visit height and weight were 5 foot 7 inches and 150 lbs. What would you do next:
a.Admit him to the ICU for D.K.A.
b.Have him record his FSG in a log and do an outpatient formal glucose-tolerance test
c.Have him record his FSG and educate him on a diabetic diet
*d.Have him record his FSG, draw a HgbA1C and start him up on insulin
e.Have him record his FSG and start up on an oral hyperglycemic controlling agent
a.Admit him to the ICU for D.K.A.
b.Have him record his FSG in a log and do an outpatient formal glucose-tolerance test
c.Have him record his FSG and educate him on a diabetic diet
*d.Have him record his FSG, draw a HgbA1C and start him up on insulin
e.Have him record his FSG and start up on an oral hyperglycemic controlling agent