MRCP2-1360
A 17-year-old woman presents to her primary care physician with recurrent episodes of vaginal thrush. She has no other significant symptoms indicating hyperglycemia. A strong family history of type 2 diabetes is noted and the physician arranges to check fasting plasma glucose. Two samples are checked and the laboratory glucose results are 8.1 and 8.2 mmol/l. Urine is negative for ketones. HbA1C, also checked by the physician, is elevated at 74 mmol.mol (8.9%). Her BMI is 23 and her BP is 110/75.
What is the most appropriate initial treatment for this patient?