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Type 2 diabetes — newly diagnosed counselling

PLAB 2 & PRES 3 · endocrine · easy · 10 minutes

Candidate brief

Mr Singh, 52, has a new diagnosis of type 2 diabetes (HbA1c 64 mmol/mol). Counsel him on lifestyle and initial pharmacological management.

What examiners look for

NICE NG28 T2DM in adults: first-line metformin, target HbA1c generally ≤48 mmol/mol, annual review of feet, eyes, renal function.

Guideline references

• https://www.nice.org.uk/guidance/ng28
• https://www2.hse.ie/conditions/type-2-diabetes/

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