A 52-year-old overweight man with newly diagnosed type 2 diabetes has HbA1c 70 mmol/mol (8.6%) despite diet and exercise for 3 months. eGFR is normal....

Question

A 52-year-old overweight man with newly diagnosed type 2 diabetes has HbA1c 70 mmol/mol (8.6%) despite diet and exercise for 3 months. eGFR is normal. What is the recommended first-line pharmacological therapy?

Accepted Answer

Start Metformin

Answer

Start insulin immediately

Answer

Start a sulfonylurea such as Gliclazide as monotherapy

Answer

Start an SGLT2 inhibitor as monotherapy

Answer

No drug therapy is indicated

uk-plab-1 MCQ (SBA): Type 2 diabetes – first-line drug

A 52-year-old overweight man with newly diagnosed type 2 diabetes has HbA1c 70 mmol/mol (8.6%) despite diet and exercise for 3 months. eGFR is normal. What is the recommended first-line pharmacological therapy?