Answer :
Answer: C) Metformin
Explanation:
Based on the provided information about Randy:
- He is 29 years old.
- He is African American.
- His BMI is 30.
- He does not exercise.
- He has evidence of metabolic syndrome.
The first-line treatment for Randy's diagnosis would typically be focused on managing his metabolic syndrome. Metabolic syndrome is a cluster of conditions that include high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels. The treatment approach usually involves lifestyle changes and medication to control these conditions.
Given the options provided:
A) Insulin - Insulin is primarily used for managing diabetes, particularly when blood sugar levels are not adequately controlled by other means. It is not typically the first-line treatment for metabolic syndrome itself.
B) Actos (pioglitazone) - Actos is a medication that improves insulin sensitivity and is used in the management of type 2 diabetes. While it may be beneficial in certain cases of metabolic syndrome, it is not generally considered first-line for the syndrome itself.
C) Metformin - Metformin is a first-line medication for the management of type 2 diabetes and is also used off-label for metabolic syndrome due to its effects on insulin sensitivity and glucose metabolism. It is often recommended as part of lifestyle modifications in the treatment of metabolic syndrome.
D) Glucotrol (glipizide) - Glucotrol is a sulfonylurea medication used to lower blood sugar levels in type 2 diabetes. It is not typically used as a first-line treatment for metabolic syndrome.
Considering the options and the first-line approach to managing metabolic syndrome, the most appropriate answer would be:
**C) Metformin**
Metformin helps to improve insulin sensitivity, reduce insulin resistance, and lower blood sugar levels, all of which are beneficial in managing metabolic syndrome along with lifestyle modifications such as diet and exercise. Therefore, Metformin would be the recommended first-line treatment for Randy's condition.
