The Brigham Intensive Review of Internal Medicine Question and Answer Companion by Ajay K. Singh Joseph Loscalzo

The Brigham Intensive Review of Internal Medicine Question and Answer Companion by Ajay K. Singh Joseph Loscalzo

Author:Ajay K. Singh,Joseph Loscalzo
Language: eng
Format: azw3, epub, mobi, pdf
Published: 2014-08-28T22:33:38+00:00


50. A 50-year-old obese woman with a history of gesta- potential weight gain.

tional diabetes and family history of diabetes and coro- Which of the following would be the best option for nary artery disease, was diagnosed with type 2 diabetes this patient given the above considerations?

during a visit with her primary care physician when she

was found to have A1C level of 8.0% on routine screen-

A. No change in treatment

ing blood tests. At the time of her diabetes diagnosis,

B. Add glipizide

her body mass index (BMI) was 30 kg/m2. Treatment

C. Add liraglutide

was initiated for her diabetes with metformin 500 mg

D. Add sitagliptin

112  •  t h e br igh a m i n t e nsi v e r e v i e w of i n t e r na l m e diCi n e Qu e s t ion a n d a ns w e r Com pa n ion CH A PT ER 5 A NS W ER S

metformin has been reaffirmed as the preferred initial agent.

There is a long-standing evidence base for both efficacy and



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