Preventing the Conversion from Prediabetes to Type 2 Diabetes Mellitus: Lifestyle Modification versus Metformin Therapy

Author

Kirsten Anderson, University of the PacificFollow

Date of Award

4-12-2019

Document Type

Capstone

Degree Name

Master of Physician Assistant Studies

Department

Physician Assistant Education

First Advisor

Rahnea Sunseri

Abstract

A 42-year-old mildly obese female returns to her primary care provider for lab results. Her screening comprehensive metabolic panel reveals an impaired fasting glucose of 120 mg/dL and her glycosylated hemoglobin A1c (HbA1c) is 6.3 – squarely in the prediabetic range, bordering on conversion to type 2 diabetes mellitus (T2DM). At this point, should the clinician recommend lifestyle modifications alone? Lifestyle modifications and metformin? Would those recommendations necessarily vary if she was 65 years old or had a history of gestational diabetes (GDM)?

Recommended Citation

Anderson, Kirsten, "Preventing the Conversion from Prediabetes to Type 2 Diabetes Mellitus: Lifestyle Modification versus Metformin Therapy" (2019). Physician Assistant Capstones. 1.
https://scholarlycommons.pacific.edu/pa-capstones/1