QuestionSBA
QuestionChoice
Gliclazide is an option in the management of diabetes. However, in order to be diagnosed with diabetes and to commence treatment, patients with no symptoms need to have to at least two separate HbA1c readings above 48mmol/mol a week apart.  This patient therefore requires a second HbA1c in one weeks time to confirm a diagnosis.
10025118
d
Commence gliclazide
QuestionChoice
This is an asymptomatic patient with a HbA1c above diagnostic level. In order to be diagnosed with diabetes, this patient requires a second HbA1c reading above 48mmol/mol in one weeks time.
10025117
c
Commence pioglitazone
QuestionChoice
Diabetes can be diagnosed with a HbA1c greater than or equal to 48mmol/mol as long as the patient has symptoms of diabetes alongside this. However, this patient does not have any symptoms of diabetes and this reading was found incidentally. Therefore, this patient requires a repeat HbA1c in one weeks time in order to confirm a diagnosis of diabetes.
10025115
a
Repeat HbA1c in 1 week
QuestionChoice
Diabetes can be diagnosed with a HbA1c greater than or equal to 48mmol/mol as long as the patient has symptoms of diabetes alongside this. However, this patient does not have any symptoms of diabetes. Therefore, this patient  cannot be diagnosed based on this HbA1c reading. The HbA1c needs to be repeated in one weeks time to confirm diagnosis.
10025119
e
Commence Insulin
QuestionChoice
Diabetes can be diagnosed with a HbA1c greater than or equal to 48mmol/mol as long as the patient has symptoms of diabetes alongside this. However, this patient does not have any symptoms of diabetes and therefore cannot be diagnosed based on this one HbA1c reading.
10025116
b
Commence metformin
QuestionComment
Not sure if this is right but what different is it gonig to make to retake the HbA1c after 1 weeks when this value only really changes every 3 months due to the RBC turnover? If someone could clarify, that's be great :)
37264
QuestionComment
Completely agree
42034
User
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Digiti Minimi
User
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sidarthavader906
Concept
Chapter
2693
4058
Diabetes Mellitus
Topic
167
Endocrine physiology
17421
A 30-year-old female is incidentally found to have an HbA1c of 58mmol/mol. She has no previous diagnosis of Type 2 diabetes. She does not report experiencing any polyuria or polydipsia.

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