Question

A 49-year-old with no symptoms has HbA1c 6.6% on routine screening. He has no hyperglycemic symptoms. What is the most appropriate next step to confirm diabetes?

Accepted Answer

Repeat the same test (HbA1c) to confirm on a different day

Answer

No further testing needed-diagnosis is confirmed

Answer

Order a random plasma glucose

Answer

Start metformin and confirm later

Answer

Perform an oral glucose tolerance test without repeating HbA1c

Practice question

A 49-year-old with no symptoms has HbA1c 6.6% on routine screening. He has no hyperglycemic symptoms. What is the most appropriate next step to confirm diabetes?