MSFinals-1602

MSFinals-1602

A 32-year-old woman presents with a history of oligomenorrhoea and menstrual irregularity (menses every 32–38 days). She has a body mass index (BMI) of 28 kg/m2 and is hirsute. She has short hair distributed in a male pattern of baldness.
Examination reveals brown, hyperpigmented areas in the creases of the axillae and around the neck. A glucose tolerance test is performed and shows the following:
Investigation Result Normal value
Fasting plasma glucose 4.3 mmol/l 3.5–5.5 mmol/l
2-hour oral glucose tolerance test (OGTT) plasma glucose 9.2 mmol/l
What is the most appropriate monitoring plan for this patient?