Case 1 of 10Endocrine and MetabolicDiabetes mellitus (e.g., type 1, type 2)
A 48-year-old man presents to the emergency department with excessive thirst, unintentional weight loss of 15 kg over the past two months, and severe fatigue. He denies abdominal pain, nausea, or vomiting. On examination he is alert and oriented, vital signs are stable, and there is no acetone odor on his breath. Blood testing reveals a fasting blood glucose of 12 mmol/L. Serum electrolytes are normal and urinalysis shows no ketones.
Question 1 of 28
What is the most appropriate first step in managing this patient's glycemic control?
Select 1. (0 / 1 selected)
100%
ALifestyle modification only, recheck in 3 months
BStart a sulfonylurea
CStart an SGLT2 inhibitor
DStart a GLP-1 receptor agonist
EStart metformin
FStart insulin therapy (basal or basal-bolus) immediately
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