A 52-year-old man with obesity is found to have fasting plasma glucose 9.0 mmol/L on two separate occasions. He has no symptoms of hyperglycaemia and ...

Question

A 52-year-old man with obesity is found to have fasting plasma glucose 9.0 mmol/L on two separate occasions. He has no symptoms of hyperglycaemia and no contraindications to any antidiabetic medication. According to Diabetes Canada, what is the most appropriate initial pharmacologic management?

Accepted Answer

Start metformin in addition to lifestyle modification.

Answer

Begin lifestyle modification only and repeat HbA1c in 12 months.

Answer

Start basal insulin immediately.

Answer

Start a sulfonylurea as first-line monotherapy.

Answer

Start an SGLT2 inhibitor as monotherapy and avoid metformin.

ca-mccqe1 MCQ (SBA): Type 2 diabetes mellitus

A 52-year-old man with obesity is found to have fasting plasma glucose 9.0 mmol/L on two separate occasions. He has no symptoms of hyperglycaemia and no contraindications to any antidiabetic medication. According to Diabetes Canada, what is the most appropriate initial pharmacologic management?