Difficulty sleeping and fatigue
Author and Disclosure Information [Show]

Courtney Whittle, MD, MSW, Diplomate of ABOM, Pediatric Lead, Obesity Champion, TSPMG, Weight A Minute Clinic, Atlanta, Georgia.

Courtney Whittle, MD, MSW, Diplomate of ABOM, has disclosed no relevant financial relationships.

Question 1 of 3

A 45-year-old woman presents to her primary care physician because of fatigue, difficulty sleeping; muscle and joint pain, especially in her legs; and decreased ability to maintain physical exertion for long periods of time. She has spent the past several years as the primary caregiver for her parents, who have since died, and has two teenage children. She has gained 40 lb in the past 5 years. Her height is 5 ft 3 in and weight is 190 lb (BMI, 33.7). Physical exam reveals a blood pressure of 150/90 mm Hg. Laboratory tests reveal a fasting glucose level of 150 mg/dL and A1c of 6.4%. Her medical history is otherwise unremarkable.

The patient is diagnosed with obesity, hypertension, and prediabetes. What is the first-line treatment recommendation?

Diet and exercise for weight loss

Metformin to control her prediabetes

An antihypertensive medication

A structured diet, exercise, and behavior modification program for weight loss; an antihypertensive medication; and consideration of metformin to control her prediabetes

This quiz is not accredited for CME.

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