Question

A 50-year-old with new diabetes and obesity asks whether to start insulin immediately (A1c 8.2%). Which is correct?

Accepted Answer

Start metformin and consider GLP-1 RA/SGLT2 based on comorbidities; insulin not required initially

Answer

Start insulin for all with A1c >7%

Answer

Use sulfonylurea first in all

Answer

No pharmacotherapy for A1c >8%

Answer

Metformin contraindicated if eGFR 80

Practice question

A 50-year-old with new diabetes and obesity asks whether to start insulin immediately (A1c 8.2%). Which is correct?