Question

A 45-year-old with BMI 29 kg/m², BP 128/78, fasting glucose 118 mg/dL (confirmed), and A1C 6.0%. What is the diagnosis and next step?

Accepted Answer

Prediabetes; offer intensive lifestyle and consider metformin if high risk

Answer

Normal glucose tolerance; no action

Answer

Diabetes; start basal insulin

Answer

Impaired fasting glucose only; no structured follow-up

Answer

Reactive hypoglycaemia

Practice question

A 45-year-old with BMI 29 kg/m², BP 128/78, fasting glucose 118 mg/dL (confirmed), and A1C 6.0%. What is the diagnosis and next step?