A 62-year-old man with type 2 diabetes is taking maximally tolerated metformin but his HbA1c remains 76 mmol/mol. He has established ischaemic heart d...

Question

A 62-year-old man with type 2 diabetes is taking maximally tolerated metformin but his HbA1c remains 76 mmol/mol. He has established ischaemic heart disease. Renal function is normal. What is the most appropriate next medication to add?

Accepted Answer

SGLT2 inhibitor (e.g. empagliflozin)

Answer

Sulfonylurea (e.g. gliclazide)

Answer

Pioglitazone

Answer

DPP-4 inhibitor (e.g. sitagliptin)

Answer

Basal insulin

uk-plab-1 MCQ (SBA): Type 2 diabetes suboptimal control

A 62-year-old man with type 2 diabetes is taking maximally tolerated metformin but his HbA1c remains 76 mmol/mol. He has established ischaemic heart disease. Renal function is normal. What is the most appropriate next medication to add?