AUTHOR:Edward Shahady, MDEmeritus Professor and Chairman, Family MedicineUniversity of North Carolina, Chapel Hill, North Carolina
Test Your Knowledge on Diabetes: Managing Prediabetes
In this “Test Your Knowledge” series, Edward Shahady, MD, asks you to choose the most appropriate treatment approach for a middle-aged Black man with prediabetes.
John is a 46-year-old Black man with a family history of type 2 diabetes in his father and paternal grandmother. Both had died in their late 50s and had had renal failure, congestive heart failure, and strokes.
John is obese with a body mass index of 39 kg/m2. His blood glucose level is 115 mg/dL fasting and 145 mg/dL 2 hours postprandially. His triglyceride level is slightly above average at 180 mg/dL, and his low-density lipoprotein cholesterol level is elevated at 175 mg/dL. His waist circumference is 114.3 cm.
What is the most appropriate treatment option? Select all that apply.