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[Weekly Medical Questions] is the new online column of "NEJM Medical Frontier"
.
Based on NEJM Knowledge+, a sister product of the New England Journal of Medicine, this column pushes a question every Wednesday, and announces the answer and key points the next day
.
The questions and content may seem simple, but they are the core knowledge points and error-prone points of clinical practice; answering correctly is not the goal, mastering the key points is the kingly way
.
Weekly medical consultation to help you focus and save time for you! Everyone is welcome to leave a message in the comments
.
Your valuable comments and suggestions will be our best help! A 42-year-old man presented to an outpatient consultation regarding the long-term management of type 2 diabetes
.
The patient's diabetes has been poorly controlled for many years, and after recently starting basal insulin, the glycated hemoglobin level reached 6.
8%, and self-monitoring of blood glucose showed that more than 90% of fingertip blood glucose values were within the target range
.
He has nonproliferative retinopathy but is asymptomatic
.
All systemic examination results were negative
.
In addition to insulin, he was taking aspirin 81 mg and atorvastatin 80 mg daily
.
His blood pressure was 128/76 mmHg and his BMI was 32
.
Neurological examination revealed diminished Achilles tendon reflexes and reduced sensation of light touch and vibration in the feet
.
Laboratory testing revealed a low-density lipoprotein cholesterol level of 68 mg/dL (reference range, <130 mg/dL) and urine albumin of 18 mg/g creatinine (<30) at the time point
.
Which of the following evaluations is recommended for this patient? A.
Detection of fructosamine levels B.
Electromyography C.
Detection of serum creatinine levels D.
Cardiac stress test E.
Detection of C-reactive protein levels The answer to the question is actually hidden in the question stem and abstract
.
Do you have an answer? If you are not sure, you can share the content with your friends, and the discussion can make people think more clearly
.
At the same time, please leave us a message with your answers and diagnosis and treatment ideas
.
The answer will be revealed tomorrow, we will see you soon! Copyright Information This article was translated, written or commissioned by the NEJM Frontiers in Medicine, jointly created by Jiahui Medical Research and Education Group (J-Med) and The New England Journal of Medicine (NEJM)
.
The full text of the Chinese translation and the included figures are exclusively authorized by the NEJM Group
.
If you want to reprint, please leave a message or contact nejmqianyan@nejmqianyan.
cn
.
Unauthorized translation is an infringement, and the copyright owner reserves the right to pursue legal responsibility
.
.
Based on NEJM Knowledge+, a sister product of the New England Journal of Medicine, this column pushes a question every Wednesday, and announces the answer and key points the next day
.
The questions and content may seem simple, but they are the core knowledge points and error-prone points of clinical practice; answering correctly is not the goal, mastering the key points is the kingly way
.
Weekly medical consultation to help you focus and save time for you! Everyone is welcome to leave a message in the comments
.
Your valuable comments and suggestions will be our best help! A 42-year-old man presented to an outpatient consultation regarding the long-term management of type 2 diabetes
.
The patient's diabetes has been poorly controlled for many years, and after recently starting basal insulin, the glycated hemoglobin level reached 6.
8%, and self-monitoring of blood glucose showed that more than 90% of fingertip blood glucose values were within the target range
.
He has nonproliferative retinopathy but is asymptomatic
.
All systemic examination results were negative
.
In addition to insulin, he was taking aspirin 81 mg and atorvastatin 80 mg daily
.
His blood pressure was 128/76 mmHg and his BMI was 32
.
Neurological examination revealed diminished Achilles tendon reflexes and reduced sensation of light touch and vibration in the feet
.
Laboratory testing revealed a low-density lipoprotein cholesterol level of 68 mg/dL (reference range, <130 mg/dL) and urine albumin of 18 mg/g creatinine (<30) at the time point
.
Which of the following evaluations is recommended for this patient? A.
Detection of fructosamine levels B.
Electromyography C.
Detection of serum creatinine levels D.
Cardiac stress test E.
Detection of C-reactive protein levels The answer to the question is actually hidden in the question stem and abstract
.
Do you have an answer? If you are not sure, you can share the content with your friends, and the discussion can make people think more clearly
.
At the same time, please leave us a message with your answers and diagnosis and treatment ideas
.
The answer will be revealed tomorrow, we will see you soon! Copyright Information This article was translated, written or commissioned by the NEJM Frontiers in Medicine, jointly created by Jiahui Medical Research and Education Group (J-Med) and The New England Journal of Medicine (NEJM)
.
The full text of the Chinese translation and the included figures are exclusively authorized by the NEJM Group
.
If you want to reprint, please leave a message or contact nejmqianyan@nejmqianyan.
cn
.
Unauthorized translation is an infringement, and the copyright owner reserves the right to pursue legal responsibility
.
