Question

A 58-year-old with type 2 diabetes has A1C 12.1% and symptoms of polyuria and weight loss. eGFR is 70 mL/min/1.73 m². What is the most appropriate initial glycaemic therapy?

Accepted Answer

Begin basal insulin therapy now

Answer

Start metformin alone

Answer

Start a GLP-1 receptor agonist only

Answer

Defer treatment and repeat A1C in 3 months

Answer

Begin SGLT2 inhibitor monotherapy

Practice question

A 58-year-old with type 2 diabetes has A1C 12.1% and symptoms of polyuria and weight loss. eGFR is 70 mL/min/1.73 m². What is the most appropriate initial glycaemic therapy?