Question

3. Mrs Lee is 65 years old and retired. She loves internet surfing and eating. She feels fatigue and increased thirsty recently thus having a body check-up. 

  • Her body mass index ("BMI") is 30.3. 

Her blood test and oral glucose tolerance test ("OGTT") results are shown below: 

  • HbA1c ("glycated haemoglobin"): 7.2 % 
  • Fasting plasma glucose: 7.4 mmol/L 
  • Total cholesterol: 245 mg/L 
  • Plasma triglyceride: 205 mg/L 
  • OGTT: 11.3 mmol/L 

(a) What type of disorder does Mrs Lee likely have? Explain your answer. (4 marks) 

(b) What is the most commonly prescribed first line drug for the management of Mrs Lee's disorder? What is the mode of action of this first-line drug? (3 marks) 

(c) Name THREE other classes of medications that can also be used with the first-line drug to manage Mrs Lee's disorder. Describe the mode of actions and side effects of the THREE medications in different classes. (12 marks) 

(d) In addition to medication, could you provide TWO non-pharmacological advice to Mrs Lee for the management of her disorder? (1 mark) 

Complete and Continue