A 49-year-old man is newly diagnosed with type 2 diabetes mellitus after HbA1c 7.8% (62 mmol/mol). He has no established CVD, eGFR 82 mL/min/1.73 m², ...

Question

A 49-year-old man is newly diagnosed with type 2 diabetes mellitus after HbA1c 7.8% (62 mmol/mol). He has no established CVD, eGFR 82 mL/min/1.73 m², BMI 32 kg/m² and is motivated to change lifestyle. According to the RACGP-Diabetes Australia handbook, what is the most appropriate initial pharmacological treatment?

Accepted Answer

Start metformin in addition to lifestyle modification

Answer

Start basal insulin

Answer

Start sulfonylurea monotherapy

Answer

Start SGLT2 inhibitor monotherapy

Answer

Withhold pharmacotherapy and repeat HbA1c in 12 months

au-amc MCQ (SBA): Type 2 diabetes initial therapy