Diabetes and Lipid Metabolism
An 18-year-old boy was incidentally detected to have high fasting blood glucose readings on a routine medical check-up for army recruitment. He had no history of osmotic symptoms. He had a strong family history of diabetes with three of his first cousins and two of the paternal uncles having medication-treated diabetes. On examination, he had BMI of 23 kg/m2 with normal general physical and systemic examination. His repeat blood tests confirmed elevated fasting glucose (7–9 mmol/L), although the post-prandial blood glucose was within normal range. Which one of the following is the most appropriate management approach for his elevated fasting blood glucose levels?
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