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Type 2 Diabetes — UKMLA MCQ

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EasyEndocrinology & DiabetesType 2 DiabetesUKMLA

A 40-year-old woman with type 2 diabetes presents with polydipsia, polyuria, and a random glucose level of 17 mmol/L. She is overweight (BMI 32). According to NICE guidelines, what is the first-line pharmacological treatment (assuming no contraindications)?

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Correct answer: A — Metformin

Metformin is the recommended first-line medication for type 2 diabetes in overweight or obese patients, unless there are contraindications (e.g., renal impairment). Sulfonylureas, DPP-4 inhibitors, or GLP-1 agonists may be added subsequently if glycaemic targets are not met.

Reference: NICE Type 2 Diabetes