Question

A patient with type 2 diabetes on metformin has an HbA1c of 68 mmol/mol (8.4%). According to NICE guidelines, which medication class is recommended to add next if weight is a concern and the patient is at high cardiovascular risk?

Accepted Answer

SGLT2 inhibitor (e.g., empagliflozin)

Answer

Sulfonylurea (e.g., gliclazide)

Answer

Thiazolidinedione (e.g., pioglitazone)

Answer

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

Answer

Insulin therapy

Practice question

A patient with type 2 diabetes on metformin has an HbA1c of 68 mmol/mol (8.4%). According to NICE guidelines, which medication class is recommended to add next if weight is a concern and the patient is at high cardiovascular risk?