Question

A 56-year-old man with obesity and newly diagnosed type 2 diabetes (HbA1c 8.5%) has no cardiovascular disease or chronic kidney disease. His eGFR is 80 mL/min/1.73 m². What is the most appropriate initial pharmacologic therapy according to Diabetes Canada?

Accepted Answer

Start metformin as first-line pharmacotherapy

Answer

Start basal insulin immediately

Answer

Start a sulfonylurea as first-line pharmacotherapy

Answer

Start an SGLT2 inhibitor as monotherapy

Answer

Delay pharmacotherapy and focus on lifestyle change for 1 year

Practice question

A 56-year-old man with obesity and newly diagnosed type 2 diabetes (HbA1c 8.5%) has no cardiovascular disease or chronic kidney disease. His eGFR is 80 mL/min/1.73 m². What is the most appropriate initial pharmacologic therapy according to Diabetes Canada?