Question

A 58-year-old with type 2 diabetes (A1C 10.8%), fasting glucose 336 mg/dL, and polyuria presents without ketoacidosis. Best initial antihyperglycaemic therapy?

Accepted Answer

Start basal-bolus insulin

Answer

Start metformin monotherapy

Answer

Start GLP-1 receptor agonist monotherapy

Answer

Start SGLT2 inhibitor monotherapy

Answer

Delay drugs; lifestyle only

Practice question

A 58-year-old with type 2 diabetes (A1C 10.8%), fasting glucose 336 mg/dL, and polyuria presents without ketoacidosis. Best initial antihyperglycaemic therapy?