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Medicine Endocrinology fe739701

39 year old obese patient present with features of UTI and RBS-200 mg/dl, urine shows pus cells, true about therapy is-

A
Glipizide is D.O.C.
B
Insulin can be given
C
Ciprofloxacin
D
Test for micro albumin to be bone
High-Yield Explanation
Ans is option 2 and 3 An obese patient with random blood sugar 200 suggests diabetes. Patient also complains of UTI Therefore the patient requires insulin Any case of diabetes with acute infection requires insulin therapy Ciprofloxacin is required to treat UTI Ref Harrison 17/e p2301, 2277

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