Diabetes and Glucose Medical Question:
A 58-year-old male comes to the office for follow-up care of his foot ulcer. He has no complains regarding the ulcer, but he has recently become polyuric and polydipsic. Fasting blood work reveals elevated glucose levels. He is prescribed oral hypoglycemics, and counseled on self-monitoring at home. On his next follow-up visit, the patient proudly states that he has been “very compliant” with his medications, and that his glucose level are “always well controlled.” Which of the following is the best way to determine whether this patient is telling the truth?
A) Random blood glucose
B) Fasting urine glucose
C) Glycosylated hemoglobin
D) Serum insulin levels
E) Serum C-peptide levels
References for this head trauma question:
–USMLEWORLD,LLC QBank ver 2009.02
Correct answer is C. Hemoglobin A1c >6.5% is a diagnostic criterion and is the best test to follow response to therapy over the last several months.