A 55-year-old with type 2 diabetes (A1c 10.8%), weight loss, polyuria, serum glucose 360 mg/dL without acidosis or ketones. Best initial pharmacologic...

Question

A 55-year-old with type 2 diabetes (A1c 10.8%), weight loss, polyuria, serum glucose 360 mg/dL without acidosis or ketones. Best initial pharmacologic approach?

Accepted Answer

Start basal insulin in addition to metformin

Answer

Add sulfonylurea to metformin

Answer

Start GLP-1 RA only

Answer

Wait for lifestyle changes for 3 months

Answer

SGLT2 inhibitor only

us-abfm MCQ (SBA): Type 2 Diabetes (Insulin Indication)

A 55-year-old with type 2 diabetes (A1c 10.8%), weight loss, polyuria, serum glucose 360 mg/dL without acidosis or ketones. Best initial pharmacologic approach?