QuestionSBA
QuestionChoice
In asymptomatic patients with a raised HbA1c level, a repeat test should be conducted before commencing treatment.
10002398
b
Start metformin
QuestionChoice
Although the patient is currently asymptomatic, a repeat HbA1c test is still warranted to check for the development of type 2 diabetes.
10002399
c
No further management required
QuestionChoice
In asymptomatic patients with a raised HbA1c level, a repeat test should be conducted before commencing treatment.
10002400
d
Start sulfonylurea
QuestionChoice
In asymptomatic patients with a raised HbA1c level, a repeat test should be conducted before commencing treatment. Additionally, insulin therapy is usually considered much later in the management of type 2 diabetes.
10002401
e
Start insulin
QuestionChoice
This patient is presenting with a raised HbA1c level without any symptoms of diabetes. According to NICE guidelines, a repeat HbA1c test should be conducted in all patients with an incidentally raised HbA1c before commencing any treatment.
10002397
a
Repeat HbA1c test
Concept
Chapter
2693
4037
Type 2 Diabetes Mellitus
Topic
162
General practice
13026
A 64-year-old male presents to General Practice for a routine health check. As part of his routine investigations, a glycated haemoglobin (HbA1c) test is conducted and found to be elevated at 54 mmol/L (normal range 20-42 mmol/L). The patient is currently asymptomatic and does not have any other medical conditions.


What should be the next step in the management of this patient?
a