A 45-year-old with type 2 diabetes has an HbA1c of 65 mmol/mol (8.1%). According to NICE guidelines, what is the first-line pharmacological agent for ...

Question

A 45-year-old with type 2 diabetes has an HbA1c of 65 mmol/mol (8.1%). According to NICE guidelines, what is the first-line pharmacological agent for most patients with T2DM if there are no contraindications?

Accepted Answer

Metformin

Answer

Sulfonylurea (e.g. gliclazide)

Answer

Thiazolidinedione (e.g. pioglitazone)

Answer

Insulin

Answer

DPP-4 inhibitor (e.g. sitagliptin)

NICE Guideline NG28 MCQ (SBA): Type 2 Diabetes Mellitus

A 45-year-old with type 2 diabetes has an HbA1c of 65 mmol/mol (8.1%). According to NICE guidelines, what is the first-line pharmacological agent for most patients with T2DM if there are no contraindications?