Question

A 50-year-old man with T2DM has recurrent hypoglycaemic episodes on sulfonylurea plus metformin. Which medication could be added or substituted to reduce hypoglycaemia risk while improving control?

Accepted Answer

Add a DPP-4 inhibitor (e.g., sitagliptin)

Answer

Increase sulfonylurea dose

Answer

Start insulin glargine

Answer

Add a thiazolidinedione (e.g., pioglitazone)

Answer

Add an SGLT2 inhibitor (e.g., empagliflozin)

Practice question

A 50-year-old man with T2DM has recurrent hypoglycaemic episodes on sulfonylurea plus metformin. Which medication could be added or substituted to reduce hypoglycaemia risk while improving control?