A 53-year-old man is newly diagnosed with type 2 diabetes. A1c is 7.8%, eGFR is 82 mL/min/1.73 m2, and he has no heart failure or established

Question

A 53-year-old man is newly diagnosed with type 2 diabetes. A1c is 7.8%, eGFR is 82 mL/min/1.73 m2, and he has no heart failure or established atherosclerotic disease. He is motivated to change diet and activity. Which of the following is the most appropriate initial treatment?

Accepted Answer

Metformin plus lifestyle modification

Answer

No treatment until A1c exceeds 9%

Answer

Chronic prednisone therapy

Answer

Basal-bolus insulin as the default first therapy

Answer

Sulfonylurea monotherapy despite obesity

Initial type 2 diabetes therapy — ABFM Board MCQ

A 53-year-old man is newly diagnosed with type 2 diabetes. A1c is 7.8%, eGFR is 82 mL/min/1.73 m2, and he has no heart failure or established atherosclerotic disease. He is motivated to change diet and activity. Which of the following is the most appropriate initial treatment?