MSFinals-1010

MSFinals-1010

A 45-year-old male presents with symptoms of polyuria and polydipsia. He is a non-smoker and drinks approximately 12 units of alcohol per week. He works as a taxi driver.

During examination, his BMI is found to be 33.4 kg/m2, and his blood pressure is 132/82 mmHg. All other aspects of his cardiovascular examination are normal.

Further investigations confirm a diagnosis of diabetes mellitus, with the following results:
– Fasting blood glucose: 12.1 mmol/L (3.0-6.0)
– HbA1c: 75 mmol/mol (20-42)
– Total cholesterol: 5.8 mmol/L (<5.2) What would be the most appropriate initial treatment for this patient?