Question

A 52-year-old man is newly diagnosed with type 2 diabetes after fasting glucose of 8.4 mmol/L on two separate occasions. He is overweight (BMI 31 kg/m²), has no symptoms and normal renal function. According to Australian diabetes management guidelines, what is the most appropriate initial pharmacological therapy (in addition to lifestyle advice)?

Accepted Answer

Start metformin as first-line oral therapy

Answer

Start insulin glargine at night

Answer

Start a sulfonylurea as first-line therapy

Answer

No pharmacological therapy is indicated until HbA1c >9%

Answer

Commence SGLT2 inhibitor monotherapy

Practice question