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Management of an Adult With Type 2 Diabetes With Antidiabetic Medications: A Case Scenario

Slide: 13 of 26

Patient Discussion: Informed Decisionmaking

To help the patient make an informed decision about starting metformin, you:

Discussion of Answers:

A. Incorrect. Explanation: While the evidence for benefits and adverse effects for metformin will be important, shared decisionmaking involves a discussion with the patient about benefits and adverse effects combined with the individual patient’s health status and personal preferences in order to weigh the options and find an agreed course of action.

B. Incorrect. Explanation: While the patient’s personal medical history, lab results, and examination findings are important, shared decisionmaking involves a discussion with the patient about benefits and adverse effects combined with the individual patient’s health status and personal preferences in order to weigh the options and find an agreed course of action.

C. Incorrect. Explanation: While a discussion about the lifestyle impact of starting metformin is important, shared decisionmaking involves a discussion with the patient about benefits and adverse effects combined with the individual patient’s health status and personal preferences in order to weigh the options and find an agreed course of action.

D. Incorrect. Explanation: While a discussion about cost of metformin is important, shared decisionmaking involves a discussion with the patient about benefits and adverse effects combined with the individual patient’s health status and personal preferences in order to weigh the options and find an agreed course of action.

E. Incorrect. Explanation: While partially correct, this answer does not include all the factors of shared decisionmaking.

F. Correct. Explanation: Shared decisionmaking involves a discussion with the patient about benefits and adverse effects, and where available, the associated probabilities of those outcomes, combined with the individual patient’s health status and personal preferences, in order to weigh the options and find an agreed course of action.