A 52-year-old man with BMI 32 kg/m² is newly diagnosed with type 2 diabetes on fasting plasma glucose 8.4 mmol/L and HbA1c 59 mmol/mol (7.5%). He has ...

Question

A 52-year-old man with BMI 32 kg/m² is newly diagnosed with type 2 diabetes on fasting plasma glucose 8.4 mmol/L and HbA1c 59 mmol/mol (7.5%). He has no symptoms of hyperglycaemia and no cardiovascular disease. What is the most appropriate initial pharmacological management in addition to lifestyle modification?

Accepted Answer

Start metformin monotherapy

Answer

Start basal-bolus insulin regimen immediately

Answer

Start a sulfonylurea monotherapy

Answer

Delay all pharmacotherapy for 6-12 months while trialling lifestyle alone

Answer

Start combination therapy with two oral agents immediately

au-racgp MCQ (SBA): Newly diagnosed type 2 diabetes initial therapy