Question

A 59-year-old overweight man with newly diagnosed type 2 diabetes has an HbA1c of 66 mmol/mol despite lifestyle advice over 3 months. His eGFR is 80 mL/min/1.73 m² and liver function tests are normal. According to NICE guidance, what is the most appropriate first-line pharmacological treatment?

Accepted Answer

Start Metformin and titrate the dose as tolerated

Answer

Start Gliclazide immediately

Answer

Start Insulin glargine at bedtime

Answer

Start Sitagliptin monotherapy

Answer

No pharmacological treatment is required at this HbA1c

Practice question

A 59-year-old overweight man with newly diagnosed type 2 diabetes has an HbA1c of 66 mmol/mol despite lifestyle advice over 3 months. His eGFR is 80 mL/min/1.73 m² and liver function tests are normal. According to NICE guidance, what is the most appropriate first-line pharmacological treatment?