A 58-year-old man with newly diagnosed type 2 diabetes has been trying lifestyle modification for 3 months with limited success. His HbA1c remains 60 ...

Question

A 58-year-old man with newly diagnosed type 2 diabetes has been trying lifestyle modification for 3 months with limited success. His HbA1c remains 60 mmol/mol. His renal function is normal. According to current Australian guidance, what is the most appropriate next step in glycaemic management?

Accepted Answer

Add metformin as first-line pharmacological therapy

Answer

Add basal insulin immediately

Answer

Add a sulfonylurea as first-line pharmacological therapy

Answer

No change; continue lifestyle measures alone for another 6 months

Answer

Start an SGLT2 inhibitor as monotherapy without metformin

au-amc MCQ (SBA): Type 2 diabetes mellitus

A 58-year-old man with newly diagnosed type 2 diabetes has been trying lifestyle modification for 3 months with limited success. His HbA1c remains 60 mmol/mol. His renal function is normal. According to current Australian guidance, what is the most appropriate next step in glycaemic management?