Q:

A 45 year old man with colon cancer now develops increased thirst, increased frequency in urination and weight loss. His fasting blood glucose=9mmol/L. what is the most appropriate management?

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A 45 year old man with colon cancer now develops increased thirst, increased frequency in urination and weight loss. His fasting blood glucose=9mmol/L. what is the most appropriate management?


  1. Oral hypoglycemic
  2. Insulin long acting
  3. Short acting insulin before meal
  4. IV insulin
  5. Subcutaneous insulin

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The key is A. Oral hypoglycemic. [Increased thirst and increased frequency in urination along with

weight loss is suggestive of DM supported by fasting blood glucose of 9 mmol/L. At the age of 45 most

likely type of diabetes is NIDDM or type 2 DM which is treated by oral hypoglycemic agents].

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