Question

A 54 year old woman with newly diagnosed type 2 diabetes has an HbA1c of 60 mmol/mol (7.6%) despite lifestyle modifications over 3 months. Her BMI is 32 kg/m² and eGFR is 70 mL/min/1.73 m². Which of the following is the most appropriate first line pharmacological therapy?

Accepted Answer

Commence metformin

Answer

Commence basal insulin

Answer

Commence a sulfonylurea

Answer

Commence a DPP 4 inhibitor

Answer

No pharmacotherapy is required at this HbA1c

Practice question

A 54 year old woman with newly diagnosed type 2 diabetes has an HbA1c of 60 mmol/mol (7.6%) despite lifestyle modifications over 3 months. Her BMI is 32 kg/m² and eGFR is 70 mL/min/1.73 m². Which of the following is the most appropriate first line pharmacological therapy?