A 40-year-old patient is in the clinic for a routine physical examination.The patient has a body mass index (BMI)of 26.The patient is active and walks a dog daily.A lipid profile reveals low-density lipoprotein (LDL)of 100 mg/dL,high-density lipoprotein (HDL)of 30 mg/dL,and triglycerides of 250 mg/dL.The primary care nurse practitioner (NP)should:

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Testing for type 2 diabetes should be considered in all adults with a BMI greater than 25 who have risk factors such as HDL less than 35 mg/dL or triglycerides greater than 250 mg/dL.A fasting plasma glucose level greater than 126 mg/dL indicates diabetes.Metformin is not indicated unless testing is positive.Lifestyle changes may be part of the treatment plan.Serum insulin level is not indicated.

A 40-Year-Old Patient Is in the Clinic for a Routine