Q:

A 72 year old presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l. BP=130/80mmHg and the level of cholesterol 5.7mmol/l. There is microalbuminuria. What is the single most appropriate next management?

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A 72 year old presents with polyuria and polydipsia. The fasting blood sugar is 8 and 10mmol/l.

BP=130/80mmHg and the level of cholesterol 5.7mmol/l. There is microalbuminuria. What is the

single most appropriate next management?


  1. ACEi and sulfonylurea
  2. Statin and biguanide
  3. Statin and glitazone
  4. Insulin and ACEi
  5. Statin and ACEi

All Answers

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The key is E. Statin and ACEI. [We shall first consider life style modification and if fail then switch to

oral anti diabetics].

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