[khanar]

A 57 year old woman came for regular follow up. Her hypertension and hyperlipidemia has been successfully controlled with Aspirin, Simvastatin, and Lisinopril. She is obese and has strong family history of diabetes and because of this her fasting blood glucose was measured on three different occasions and the results were 111, 124, and 118 mg/dL. HbA1c is 6.3%. Currently she's asymptomatic and physical exam was within normal limits. Which of the following interventions may help prevent the progression to diabetes?

A- Insulin therapy
B- Daily HCTZ
C- Daily metformin
D- Regular follow up
E- Hormon replacement therapy

 

[khanar]

Correct answer is C

That's a nice question.

Studies have shown that if you start metformin in border line obese "pre-diabetic" you can delay or even avoid the progress into full blown type diabetes.

 

[mosallam]

correct answer is c

Metformin isgiven to prevent the development of diabetes in people at risk for diabetes, so i think it is c