Question

A 49-year-old with newly diagnosed symptomatic T2D has A1C 11.2% and fasting glucose 330 mg/dL with polyuria and weight loss. Which initial pharmacologic step is recommended?

Accepted Answer

Start basal insulin at 0.2 units/kg nightly

Answer

Start GLP-1 RA monotherapy

Answer

Start SGLT2 inhibitor monotherapy

Answer

Start metformin only and recheck A1C in 3 months

Answer

Begin premixed insulin twice daily without basal

Practice question

A 49-year-old with newly diagnosed symptomatic T2D has A1C 11.2% and fasting glucose 330 mg/dL with polyuria and weight loss. Which initial pharmacologic step is recommended?