Question

A 55-year-old patient with type 2 diabetes on metformin has a persistently elevated HbA1c of 70 mmol/mol (8.6%). According to NICE, which medication class is an appropriate next step to add to metformin?

Accepted Answer

Any of the above

Answer

Sulfonylurea (e.g. gliclazide)

Answer

Thiazolidinedione (e.g. pioglitazone)

Answer

SGLT2 inhibitor (e.g. canagliflozin)

Answer

DPP-4 inhibitor (e.g. sitagliptin)

Practice question

A 55-year-old patient with type 2 diabetes on metformin has a persistently elevated HbA1c of 70 mmol/mol (8.6%). According to NICE, which medication class is an appropriate next step to add to metformin?