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40 yo M is evaluated during a routine exam. He is healthy and asymptomatic, although he leads a sedentary lifestyle. No family history. No medications. When should patient be screened for DM?

User Zero Days
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Final answer:

A 40-year-old sedentary male should consider diabetes screening due to his lifestyle, despite the lack of symptoms or family history. Guidelines recommend screening at age 45, but earlier screening may be warranted for those with additional risk factors. Detection of hyperglycemia aids in the timely management of diabetes and avoidance of severe complications.

Step-by-step explanation:

For a 40-year-old male who leads a sedentary lifestyle and is otherwise healthy and asymptomatic, the general guideline for diabetes screening would suggest initiating this process. Considering the increasing prevalence of type 2 diabetes in all age groups, including those younger than 40, it is prudent to assess risk factors such as obesity, sedentary lifestyle, and other aspects of metabolic syndrome (also known as pre-diabetes). The American Diabetes Association (ADA) recommends screening for diabetes at the age of 45, especially for those with risk factors, and potentially earlier for individuals with additional risk factors like a sedentary lifestyle. The screening is performed by measuring fasting blood glucose levels, HbA1c, or an oral glucose tolerance test.

Age is a significant factor, as nearly 27 percent of Americans aged 65 and older have diabetes. While the patient in question has no family history, his inactive lifestyle still places him at risk. Earlier and regular screening may enable the detection of elevated blood glucose levels indicative of either diabetes or pre-diabetes, permitting timely intervention with lifestyle modifications or medication to prevent the progression of the disease and associated complications such as heart attacks, strokes, and kidney failure.

Overall, regular blood glucose testing and diagnosis are critical for preventing significant health complications, including increasing the risk of death by 50% compared to non-diabetic adults. Hence, early detection and management of hyperglycemia are crucial in reducing these risks.

User Fooman
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