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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