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  #1  
Old 06-11-2012
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Question Choice of Treatment for this Newly Diagnosed Diabetic?

A 55-year-old woman comes to the clinic after being diagnosed with type 2 diabetes mellitus during a routine screening
performed at work. She is currently asymptomatic and denies any history of frequent urination. On physical examination, you note a normal blood pressure. Her heart, lungs, and the remainder of the physical examination are within normal limits. When you ask the nurse to weigh your patient, you note her BMI to also be within normal limits. What is the next step in the management of this patient?

(A) Begin intense insulin therapy
(B) Begin glipizide
(C) Begin pioglitazone
(D) Begin acarbose
(E) Begin metformin
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Old 06-11-2012
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(B).sulfonylurea
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Old 06-11-2012
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(E) Begin metformin
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Old 06-12-2012
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Quote:
Originally Posted by tyagee View Post
A 55-year-old woman comes to the clinic after being diagnosed with type 2 diabetes mellitus during a routine screening
performed at work. She is currently asymptomatic and denies any history of frequent urination. On physical examination, you note a normal blood pressure. Her heart, lungs, and the remainder of the physical examination are within normal limits. When you ask the nurse to weigh your patient, you note her BMI to also be within normal limits. What is the next step in the management of this patient?

(A) Begin intense insulin therapy
(B) Begin glipizide
(C) Begin pioglitazone
(D) Begin acarbose
(E) Begin metformin
tyagee,what the ans &explanation here plz?
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Old 06-12-2012
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sorry i dont have 1. thats why i put in here.
personally i thnk it should be metformin, even though patient is not obese ! there used to be difference earlier...giving SU to thin and metformin to obese, i dont think that still exist.
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Old 03-29-2013
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Treatment protocol for newly diagnosed diabetes in a patient without reference to HBA1C level:

1. Start patient on metformin
2. If step 1 is not effective in lowering FBS, add a second agent such as a sulfonylurea or a glitazone
3. If above fails then augment with an insulin or replace oral drugs with insulin.
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Old 05-06-2013
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1. Live modification
2. metformin

But new 2012 American diabetes association are now very flexible about treatment, so technically this question in current format should not be there.
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Old 05-06-2013
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Quote:
Originally Posted by tyagee View Post
A 55-year-old woman comes to the clinic after being diagnosed with type 2 diabetes mellitus during a routine screening
performed at work. She is currently asymptomatic and denies any history of frequent urination. On physical examination, you note a normal blood pressure. Her heart, lungs, and the remainder of the physical examination are within normal limits. When you ask the nurse to weigh your patient, you note her BMI to also be within normal limits. What is the next step in the management of this patient?

(A) Begin intense insulin therapy
(B) Begin glipizide
(C) Begin pioglitazone
(D) Begin acarbose
(E) Begin metformin
actually we sud start with diet and exercise coz 25% gets treated with diet and exercise.if not controoled then we should start OHA
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