Question

A 59-year-old overweight man with newly diagnosed type 2 diabetes has an HbA1c of 63 mmol/mol despite lifestyle advice. According to NICE NG28, what is the recommended first-line pharmacological treatment?

Accepted Answer

Start metformin if there are no contraindications

Answer

Start gliclazide

Answer

Start long-acting insulin

Answer

Start a DPP-4 inhibitor as monotherapy

Answer

Start an SGLT2 inhibitor as monotherapy regardless of cardiovascular risk

Practice question

A 59-year-old overweight man with newly diagnosed type 2 diabetes has an HbA1c of 63 mmol/mol despite lifestyle advice. According to NICE NG28, what is the recommended first-line pharmacological treatment?