Question

A 45-year-old with T2DM has an HbA1c of 64 mmol/mol (8.0%). He is on metformin alone. Which is recommended as the next step?

Accepted Answer

Add a sulfonylurea (e.g., gliclazide)

Answer

Add insulin immediately

Answer

Stop metformin and switch to diet only

Answer

Add orlistat

Answer

Add pioglitazone as monotherapy

Practice question

A 45-year-old with T2DM has an HbA1c of 64 mmol/mol (8.0%). He is on metformin alone. Which is recommended as the next step?