A 52-Year-Old Man Comes to the Physician for a Regular

A 52-year-old man comes to the physician for a regular health check-up.  He is a chronic smoker and has consumed 1 to 2 beers 2 to 3 times a week for the past 10 years.  He also drinks 6 to 7 cups of coffee daily.  The patient was diagnosed with type 2 diabetes mellitus 5 years ago and takes metformin.  Blood pressure is 130/80 mm Hg and body mass index is 29 kg/m².  Random blood sugar is 190 mg/dL.  His older brother died of pancreatic cancer at age 58, and the patient is worried that he might also develop pancreatic cancer.  Which of the following interventions would have the greatest impact on decreasing this patient's risk of pancreatic cancer?

A) Achieve better glycemic control with insulin
B) Stop alcohol intake
C) Stop coffee intake
D) Stop metformin
E) Stop smoking

Correct Answer:

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