Question

A 56-year-old man with newly diagnosed type 2 diabetes has HbA1c 8.2% (66 mmol/mol) despite 3 months of lifestyle modification. His BMI is 32 kg/m² and eGFR is 90 mL/min/1.73 m². What is the most appropriate first-line pharmacological therapy?

Accepted Answer

Start metformin and titrate as tolerated

Answer

Start a sulfonylurea such as gliclazide

Answer

Start basal insulin therapy

Answer

Start an SGLT2 inhibitor as monotherapy

Answer

No pharmacological therapy is indicated yet

Practice question

A 56-year-old man with newly diagnosed type 2 diabetes has HbA1c 8.2% (66 mmol/mol) despite 3 months of lifestyle modification. His BMI is 32 kg/m² and eGFR is 90 mL/min/1.73 m². What is the most appropriate first-line pharmacological therapy?