MSFinals-0990

A 54-year-old truck driver weighing 104 kg visits your clinic. The practice nurse conducted a fasting glucose test, which showed a reading of 7.9 mmol/L. The test was repeated, and the result was 8.6 mmol/L. Despite receiving diet and lifestyle advice, the patient’s HbA1c level is 69 mmol/mol (8.5%) after three months. What is the next course of action?