A 65-year-old obese m an was in his physician’s o ce for a routine visit. The patient had been su…

A 65-year-old obese m an was in his physician’s o ce for a routine visit. The patient had been su ering from t ype 2 diabetes for 1 year, and the disease was reasonably well controlled w ith diet and m etform in. Physical exam ination showed that body m ass index was increased about 40% from the last visit, and abdom inal obesity was evident. Vital signs of the patient were blood pressure 150/90 m m Hg, pulse 85 bpm , respirations 14/m in. Further laboratory tests showed the follow ing serum values: fasting glucose 155 m g/dL (norm al 70-110 m g/dL), fasting insulin 60 IU/m L (norm al 5-20 IU/m L), total cholesterol 340 m g/dL (norm al > 200 m g/dL). The patient was m ost likely su ering from w hich of the follow ing pathologic conditions? A. Lactic acidosis B. Hypoglycem ic reaction C. Unstable angina D. Diabetic ketoacidosis E. Insulin resistance

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