Corina Ianculovici Identify the choice that best completes the statement or answers the question. Provide a rationale and a reference for each of your responses 1. A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment? a. No treatment at this time b. Diet and exercise for 6-week trial c. Diet, exercise, and oral medication d. Diet, exercise, and exogenous insulin Rationale: Patient has a BMI of 32.3, which classifies him as clinically obese. An in depth analysis of eating patterns, nutritional and weight history, presence of other comorbidities (renal, cardiovascular, neurologic, liver), depression screening, a complete eye exam, foot and neurological exam should be conducted along with a CMP, A1C, BNP, CBC/Diff. Stabilizing the blood glucose level by exogenous insulin administration to achieve a 80-120 mg/dL before meals and 100-140 mg/dL at bed time, along with am A1C <7>
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