QuestionSBA
QuestionChoice
This patient is asymptomatic and therefore would require a second HbA1c result above 48mmol/L in order to diagnose type 2 diabetes mellitus. Therefore, it would not be appropriate to begin insulin.
10007597
b
Commence insulin replacement regime
QuestionChoice
This patient is asymptomatic but does have a HbA1c of above 48mmol/L. In order to diagnose Type 2 diabetes mellitus, the patient would need a second Hba1c above 48mmol/L measured on a different day. It would not be diagnostic to have a second HbA1c done immediately.
10007600
e
Repeat HbA1c immediately
QuestionChoice
This patient is asymptomatic and therefore would require a second HbA1c result above 48mmol/L in order to diagnose type 2 diabetes mellitus. Therefore, it would not be appropriate to begin metformin at this stage.
10007598
c
Commence metformin
QuestionChoice
This patient has an HbA1C of 52mmol/L. The diagnostic threshold of diabetes is an HbA1c greater than or equal to 48mmol/L. However, this patient is asymptomatic. In patients with no symptoms, the test must be repeated on a different day to confirm the diagnosis.
10007596
a
Repeat HbA1c in 2 weeks
QuestionChoice
Type 2 diabetes mellitus cannot be diagnosed in this patient at this stage. This is because the patient is asymptomatic and has only had 1 HbA1c above 48mmol/L. Therefore, the test must be repeated on a different day to confirm the diagnosis.
10007599
d
Diagnose Type 2 Diabetes Mellitus
Concept
Chapter
2693
3761
Type 2 Diabetes Mellitus
Topic
133
Endocrinology
14066
A 40-year-old female is discovered to have an HbA1c of 52mmol/L (normal range 20-42 mmol/L) on a routine blood test. She denies any symptoms of polyuria or polydipsia.


Which of the following is the most appropriate next step?
a