Question

A 55-year-old woman with type 2 diabetes on metformin presents with a HbA1c of 68 mmol/mol. Her eGFR is 70 mL/min/1.73m². What is the most appropriate next step in management?

Accepted Answer

Add sitagliptin 100 mg OD

Answer

Add gliclazide 40 mg OD

Answer

Add insulin glargine

Answer

Increase metformin dose

Answer

Refer to diabetes clinic

Practice question

A 55-year-old woman with type 2 diabetes on metformin presents with a HbA1c of 68 mmol/mol. Her eGFR is 70 mL/min/1.73m². What is the most appropriate next step in management?