04-06-2011, 07:23 PM
A 69-year-old male with a I-year history of impaired
fasting glucose (about 120 mg/dL) presents to your
office. He has gradually gained weight over the last
several years such that his current body-mass index is
30 kg/m2. He is also being treated for hypertenSion
and hypertriglyceridemia. His HbAlc is 7.2% and his
2-hour glucose following oral glucose tolerance test is
250 mg/dL, confirming the diagnosis of diabetes.
Three months later, despite dietary modification and
weight loss, the patient's fasting blood sugars are 130
to 150 mg/dL and HbAlc is 7.6 %.
What is the most appropriate therapy?
A. Acarbose
B. Metformin
C. Rosiglitazone
D. Insulin
fasting glucose (about 120 mg/dL) presents to your
office. He has gradually gained weight over the last
several years such that his current body-mass index is
30 kg/m2. He is also being treated for hypertenSion
and hypertriglyceridemia. His HbAlc is 7.2% and his
2-hour glucose following oral glucose tolerance test is
250 mg/dL, confirming the diagnosis of diabetes.
Three months later, despite dietary modification and
weight loss, the patient's fasting blood sugars are 130
to 150 mg/dL and HbAlc is 7.6 %.
What is the most appropriate therapy?
A. Acarbose
B. Metformin
C. Rosiglitazone
D. Insulin
