A 62-year-old woman comes to the physician because of a 3-month history of fatigue and weakness. Her blood pressure is 152/92 mm Hg. Examination shows lower extremity edema. The patient's fasting plasma glucose level is 160 mg/dL, although she has not been diagnosed previously with diabetes mellitus. Serum triglyceride level is elevated, and the HDL level is low. Which of the following additional findings would be most suggestive of increased insulin resistance in this patient?

Question

A 62-year-old woman comes to the physician because of a 3-month history of fatigue and weakness. Her blood pressure is 152/92 mm Hg. Examination shows lower extremity edema. The patient's fasting plasma glucose level is 160 mg/dL, although she has not been diagnosed previously with diabetes mellitus.  Serum triglyceride level is elevated, and the HDL level is low.  Which of the following additional findings would be most suggestive of increased insulin resistance in this patient?

Quizplus · Accepted Answer

Eductional Objective: An adipose body habitus is commonly associated with insulin resistance and type 2 diabetes. In particular, excess visceral fat (surrounding internal organs) correlates much more strongly with insulin resistance than does subcutaneous fat. Visceral obesity as measured by waist circumference or waist-to-hip ratio is an important predictor of insulin resistance.

A 62-Year-Old Woman Comes to the Physician Because of a 3-Month