Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
The recommended first-line pharmacological treatment for managing Type 2 Diabetes in adults is standard-release metformin. 1
If metformin is contraindicated or not tolerated, consider an SGLT2 inhibitor with proven cardiovascular benefit, especially in patients with cardiovascular disease or high risk of it. 1
When starting dual therapy with metformin and an SGLT2 inhibitor, introduce the drugs sequentially, starting with metformin and checking tolerability. 1