Question

A 45-year-old with type 2 diabetes on metformin has an HbA1c of 70 mmol/mol (8.6%). What is the next step in glucose-lowering therapy according to NICE guidelines?

Accepted Answer

Add a sulfonylurea

Answer

Increase metformin dose beyond the maximum

Answer

Start insulin immediately

Answer

Switch to a thiazolidinedione

Answer

Only intensify lifestyle interventions

Practice question

A 45-year-old with type 2 diabetes on metformin has an HbA1c of 70 mmol/mol (8.6%). What is the next step in glucose-lowering therapy according to NICE guidelines?