A 58-year-old man is newly diagnosed with type 2 diabetes mellitus after a fasting plasma glucose of 8.0 mmol/L and HbA1c of 7.8%. He has no establish...

Question

A 58-year-old man is newly diagnosed with type 2 diabetes mellitus after a fasting plasma glucose of 8.0 mmol/L and HbA1c of 7.8%. He has no established cardiovascular disease, eGFR is 70 mL/min/1.73 m², and BMI is 31 kg/m². According to Diabetes Canada pharmacologic guidelines, what is the most appropriate initial pharmacologic management?

Accepted Answer

Start metformin and provide lifestyle counselling

Answer

Start basal insulin and discontinue oral agents

Answer

Begin dual therapy with sulfonylurea and metformin

Answer

Start a GLP-1 receptor agonist alone as first-line therapy

Answer

Begin an SGLT2 inhibitor alone as first-line therapy

ca-mccqe1 MCQ (SBA): Type 2 diabetes mellitus