Question

A 58-year-old man with type 2 diabetes is on metformin 1 g twice daily. His HbA1c remains 70 mmol/mol (8.6%). According to NICE, which medication is typically added second-line if no contraindications exist?

Accepted Answer

Add a sulfonylurea (e.g. gliclazide)

Answer

Add insulin therapy

Answer

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

Answer

Switch to a GLP-1 receptor agonist (e.g. liraglutide)

Answer

Add pioglitazone

Practice question

A 58-year-old man with type 2 diabetes is on metformin 1 g twice daily. His HbA1c remains 70 mmol/mol (8.6%). According to NICE, which medication is typically added second-line if no contraindications exist?