A 64-year-old man with type 2 diabetes is on maximum tolerated Metformin. His HbA1c remains 78 mmol/mol. He has no established cardiovascular disease ...

Question

A 64-year-old man with type 2 diabetes is on maximum tolerated Metformin. His HbA1c remains 78 mmol/mol. He has no established cardiovascular disease and his eGFR is normal. According to NICE, what is an appropriate next step in pharmacological management?

Accepted Answer

Add a Sulfonylurea such as Gliclazide

Answer

Stop Metformin and start Insulin alone

Answer

Add long-acting Insulin and stop oral agents

Answer

Add high-dose Pioglitazone as first choice

Answer

Add Aspirin for glycaemic control

uk-plab-1 MCQ (SBA): Type 2 diabetes – treatment intensification

A 64-year-old man with type 2 diabetes is on maximum tolerated Metformin. His HbA1c remains 78 mmol/mol. He has no established cardiovascular disease and his eGFR is normal. According to NICE, what is an appropriate next step in pharmacological management?