54 year old male lawyer has had high blood glucose for over a year, but only now after a random reading exceeds 300 mg/dL on an office visit is he willing to admit that he has diabetes.
He has had a previous heart attack and is taking several cardiovascular and hypertensive medications.
His physical exam today is normal. He has a BMI of 28. He admits to feeling a little tired, recently, and has been getting up at night to urinate at least two to three times per week.
Compliance with meal plan?
|Compliance with exercise plan?|
Limited activity and rare exercise.
For blood glucose: none
|For other conditions:|
HCTZ, 25 mg qd
Metoprolol (Toprol XL), 50 mg qd
Aspirin 81 mg qd
Simvastin (Zocor) 20 mg qd
|How would you initially treat this patient?|
|Diet and exercise alone|
|Diet and exercise plus an oral agent|
|Diet and exercise plus an incretin mimetic|
Diet and exercise plus insulin
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