A 48-year-old man is diagnosed with type 2 diabetes after fasting plasma glucose 8.2 mmol/L (repeated) and HbA1c 7.6% (60 mmol/mol). BMI is 31 kg/m². ...

Question

A 48-year-old man is diagnosed with type 2 diabetes after fasting plasma glucose 8.2 mmol/L (repeated) and HbA1c 7.6% (60 mmol/mol). BMI is 31 kg/m². He has tried diet changes for 3 months with minimal improvement. What is the most appropriate next step in glycaemic management?

Accepted Answer

Start metformin and continue lifestyle modification

Answer

Start insulin glargine at night

Answer

Start gliclazide MR and continue lifestyle modification

Answer

Start dual oral therapy (metformin plus gliclazide) immediately

Answer

No pharmacological therapy required yet

au-amc MCQ (SBA): Type 2 diabetes initial pharmacotherapy

A 48-year-old man is diagnosed with type 2 diabetes after fasting plasma glucose 8.2 mmol/L (repeated) and HbA1c 7.6% (60 mmol/mol). BMI is 31 kg/m². He has tried diet changes for 3 months with minimal improvement. What is the most appropriate next step in glycaemic management?