A 52-year-old man is newly diagnosed with type 2 diabetes (HbA1c 7.8%). He is overweight, walks regularly but has a sedentary job, and has no establis...

Question

A 52-year-old man is newly diagnosed with type 2 diabetes (HbA1c 7.8%). He is overweight, walks regularly but has a sedentary job, and has no established cardiovascular disease. Renal function is normal. According to Diabetes Canada, what is the most appropriate initial management strategy?

Accepted Answer

Start metformin and counsel on diet and physical activity

Answer

Lifestyle modification alone for one year

Answer

Start basal insulin immediately

Answer

Start a sulfonylurea as first-line pharmacotherapy

Answer

Start an SGLT2 inhibitor as monotherapy without metformin

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

A 52-year-old man is newly diagnosed with type 2 diabetes (HbA1c 7.8%). He is overweight, walks regularly but has a sedentary job, and has no established cardiovascular disease. Renal function is normal. According to Diabetes Canada, what is the most appropriate initial management strategy?