03-09-2008, 09:39 AM
A 33-year-old man presents for routine physical examination. The patient is obese, and other than difficulty losing weight and daytime somnolence, he has no complaints. Physical examination is normal other than a blood pressure of 140/92 mm Hg and a body mass index of 34.2. Abnormal laboratory results include a plasma glucose of 115 mg/dL (6.38 mmol/L), triglycerides of 188 mg/dL (2.12 mmol/L), HDL cholesterol of 32 mg/dL (0.83 mmol/L), and LDL cholesterol of 119 mg/dL (3.08 mmol/L).
Which of the following is the most appropriate intervention to prevent development of type 2 diabetes in this patient?
A No treatment is indicated at this time
B Diet and exercise
C Metformin
D A thiazolidinedione
E Acarbose
Which of the following is the most appropriate intervention to prevent development of type 2 diabetes in this patient?
A No treatment is indicated at this time
B Diet and exercise
C Metformin
D A thiazolidinedione
E Acarbose