A 45-Year-Old Woman Comes to the Office for Follow-Up of Type

question 302

Multiple Choice

A 45-year-old woman comes to the office for follow-up of type 2 diabetes mellitus.  The patient was diagnosed with diabetes 3 years ago after developing polyuria, polydipsia, and recurrent vulvovaginal candidiasis.  She initially tried lifestyle changes but had no significant glycemic improvement and was started on metformin.  The patient is adherent with her therapy and consumes a low-carbohydrate diet.  Family history is significant for an osteoporotic fracture in her mother.  Blood pressure is 134/86 mm Hg and pulse is 72/min.  BMI is 33 kg/m².  Physical examination shows no abnormalities.  Laboratory results show a hemoglobin A1c of 8.2%.  After further discussion, a sodium-glucose cotransporter-2 inhibitor is added to the patient's drug regimen.  Which of the following is the most likely additional effect of the newly prescribed medication?

• A)Decreased blood pressure
• B)Decreased genitourinary infections
• C)Increased bone mineral density
• D)Increased fluid retention
• E)Increased postprandial satiety

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Definitions:

American West

A region of the United States west of the Mississippi River, historically significant for its frontier history, exploration, and expansion.

Cause Of Death

refers to the specific condition or event that directly leads to an individual's death.

American West

The region of the United States located west of the Mississippi River, characterized by its varied geography and the role it played in the country's expansion and development.

Duelling

A formal or informal combat between two people, with matched weapons, in accordance with agreed-upon rules.