Question

A 49-year-old woman with a BMI of 31 kg/m² is found on screening to have a fasting plasma glucose of 7.3 mmol/L and a repeat fasting plasma glucose a week later of 7.1 mmol/L. Her HbA1c is 51 mmol/mol. She is asymptomatic. What is the most appropriate interpretation of these results?

Accepted Answer

Type 2 diabetes mellitus is confirmed

Answer

Impaired fasting glucose; repeat testing in 12 months

Answer

Normal result; no further follow-up required

Answer

Latent autoimmune diabetes in adults requiring immediate insulin

Answer

Stress hyperglycaemia; arrange an oral glucose tolerance test only if she becomes symptomatic

Practice question

A 49-year-old woman with a BMI of 31 kg/m² is found on screening to have a fasting plasma glucose of 7.3 mmol/L and a repeat fasting plasma glucose a week later of 7.1 mmol/L. Her HbA1c is 51 mmol/mol. She is asymptomatic. What is the most appropriate interpretation of these results?