Question

Which initial therapeutic approach is most suitable for an adult in which both hyperglycemia and hyperinsulinemia are confirmed?

1. Oral medication that restores insulin sensitivity to some degree to muscle and adipose

2. Oral medication that stimulates pancreas to produce and release more insulin

3. Standard treatment of a limited number of daily injections of insulin

4. Both A&B

5. Both A&C

Answer 1

Which initial therapeutic approach is most suitable for an adult in which both hyperglycemia and hyperinsulinemia are confirmed?

Answer;A &C

Because in hyperglycemia and hyperinsulinemia the initial management consist of combination therapy which include medication and insulin injections therapy

The more insulin, Some pills stimulate your pancreas to produce more insulin. The first successful diabetes pills were the sulfonylureas (glyburide, glipizide, glimepiride, tolazamide, chlorpropamide, and tolbutamide). These are insulin secretagogues, that is, chemicals that cause your pancreas to produce more insulin and Insulin injection therapy is the initial management choice for patients presenting with hyperglycemia and catabolic symptoms including weight loss.

So the initial management should include both A &C