Question

A 72-year-old woman had a non-disabling ischaemic stroke 2 weeks ago and is now stable. She was not previously known to be diabetic. Fasting glucose is 7.2 mmol/L and HbA1c 6.8% (51 mmol/mol). What is the most appropriate interpretation and management?

Accepted Answer

Diagnose impaired fasting glucose and recommend lifestyle modification

Answer

Diagnose diabetes and start insulin therapy

Answer

Consider stress hyperglycaemia only, no follow-up is needed

Answer

Diagnose diabetes and start metformin

Answer

Diagnose impaired glucose tolerance and start sulfonylurea

Practice question

A 72-year-old woman had a non-disabling ischaemic stroke 2 weeks ago and is now stable. She was not previously known to be diabetic. Fasting glucose is 7.2 mmol/L and HbA1c 6.8% (51 mmol/mol). What is the most appropriate interpretation and management?