A 55-year-old with A1c 10% and symptomatic hyperglycemia (polyuria, weight loss) on metformin asks about therapy. No DKA/HHS. Best immediate glucose-l...

Question

A 55-year-old with A1c 10% and symptomatic hyperglycemia (polyuria, weight loss) on metformin asks about therapy. No DKA/HHS. Best immediate glucose-lowering strategy?

Accepted Answer

Initiate basal insulin while continuing metformin

Answer

Add DPP-4 inhibitor

Answer

Add acarbose

Answer

Lifestyle only for 3 months

Answer

Stop metformin and start sulfonylurea

us-abfm MCQ (SBA): Symptomatic Hyperglycemia-Insulin Start

A 55-year-old with A1c 10% and symptomatic hyperglycemia (polyuria, weight loss) on metformin asks about therapy. No DKA/HHS. Best immediate glucose-lowering strategy?