Question 23 (part 2) · LEK · Diagnosis

Diabetes screening tests in a symptomless 68-year-old male involving a venous (plasma) blood glucose test reveal fasting glucose at the level of 152 mg/dl. Which course of action is appropriate in this case?

  1. A. the patient should be diagnosed with diabetes and treated pharmacologically with metformin as long as there are no contraindications.
  2. B. the blood glucose test should be repeated with the use of a glucometer any time.
  3. C. the venous blood glucose test should be repeated and fasting blood glucose established over the next few days.
  4. D. oral glucose tolerance tests should be performed.
  5. E. the venous blood glucose test should be repeated and fasting blood glucose established in one year’s time.
Hint

A single abnormal fasting result in an asymptomatic person must be confirmed; consider which test and how soon.

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