Question

A 55-year-old man with BMI 31 kg/m² and fasting plasma glucose 8.2 mmol/L has an HbA1c of 7.8% (62 mmol/mol). He has no established cardiovascular disease and normal renal function (eGFR 90 mL/min/1.73 m²). What is the most appropriate initial management?

Accepted Answer

Commence metformin and provide structured lifestyle advice

Answer

Lifestyle modification alone and review in 12 months

Answer

Start basal insulin immediately

Answer

Commence an SGLT2 inhibitor as monotherapy

Answer

Commence sulfonylurea as first-line monotherapy

Practice question

A 55-year-old man with BMI 31 kg/m² and fasting plasma glucose 8.2 mmol/L has an HbA1c of 7.8% (62 mmol/mol). He has no established cardiovascular disease and normal renal function (eGFR 90 mL/min/1.73 m²). What is the most appropriate initial management?