Question

A 58-year-old man with type 2 diabetes has an HbA1c of 66 mmol/mol despite maximum tolerated Metformin. He has a BMI of 32 kg/m² and a history of myocardial infarction. Renal function is normal. What is the most appropriate additional glucose-lowering medication?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add a sulfonylurea only

Answer

Switch to basal insulin immediately

Answer

Stop Metformin and start a thiazolidinedione alone

Answer

Make no changes as control is acceptable

Practice question

A 58-year-old man with type 2 diabetes has an HbA1c of 66 mmol/mol despite maximum tolerated Metformin. He has a BMI of 32 kg/m² and a history of myocardial infarction. Renal function is normal. What is the most appropriate additional glucose-lowering medication?