A 35-year-old woman presents with polyuria, polydipsia, and a random blood glucose of 28 mmol/L. Her HbA1c is 10.2% (88 mmol/mol). She has a BMI of

Question

A 35-year-old woman presents with polyuria, polydipsia, and a random blood glucose of 28 mmol/L. Her HbA1c is 10.2% (88 mmol/mol). She has a BMI of 23, and GAD antibodies are positive. Blood ketones are 1.2 mmol/L. What is the most appropriate initial management?

Accepted Answer

Basal-bolus insulin

Answer

Metformin 500 mg BD

Answer

Gliclazide 80 mg daily

Answer

Empagliflozin 10 mg daily

Answer

Dulaglutide 1.5 mg weekly

LADA/Type 1 Diabetes — RACP Adult Medicine MCQ

A 35-year-old woman presents with polyuria, polydipsia, and a random blood glucose of 28 mmol/L. Her HbA1c is 10.2% (88 mmol/mol). She has a BMI of 23, and GAD antibodies are positive. Blood ketones are 1.2 mmol/L. What is the most appropriate initial management?