Question

A 54-year-old obese woman is newly diagnosed with type 2 diabetes. Her HbA1c is 65 mmol per mol despite lifestyle advice. Renal function is normal. What is the most appropriate first-line pharmacological treatment?

Accepted Answer

Start Metformin with ongoing lifestyle measures

Answer

Start insulin immediately

Answer

Start Gliclazide alone

Answer

Start a GLP-1 receptor agonist alone

Answer

No drug treatment is indicated at this HbA1c

Practice question

A 54-year-old obese woman is newly diagnosed with type 2 diabetes. Her HbA1c is 65 mmol per mol despite lifestyle advice. Renal function is normal. What is the most appropriate first-line pharmacological treatment?