Question

A 57-year-old woman with newly diagnosed type 2 diabetes has an HbA1c of 64 mmol/mol despite lifestyle advice. Her eGFR is 70 mL/min/1.73 m². According to NICE guidance, what is the most appropriate first-line pharmacological treatment?

Accepted Answer

Start Metformin and titrate as tolerated

Answer

Start gliclazide immediately

Answer

Start basal insulin

Answer

Start sitagliptin monotherapy

Answer

Start pioglitazone monotherapy

Practice question

A 57-year-old woman with newly diagnosed type 2 diabetes has an HbA1c of 64 mmol/mol despite lifestyle advice. Her eGFR is 70 mL/min/1.73 m². According to NICE guidance, what is the most appropriate first-line pharmacological treatment?