A 58-year-old with type 2 diabetes has A1c 11.2% with polyuria and weight loss. What initial glucose-lowering approach is recommended?...

Question

A 58-year-old with type 2 diabetes has A1c 11.2% with polyuria and weight loss. What initial glucose-lowering approach is recommended?

Accepted Answer

Start basal insulin ± prandial insulin

Answer

Start metformin monotherapy

Answer

Start GLP-1 receptor agonist alone

Answer

Start SGLT2 inhibitor alone

Answer

Delay therapy; repeat A1c in 3 months

us-usmle-step-2 MCQ (SBA): Type 2 Diabetes Initial Therapy