Question

A 55-year-old man with Type 2 Diabetes has an HbA1c of 60 mmol/mol despite taking Metformin 1g BD. He has established atherosclerotic cardiovascular disease (previous MI). Which medication class is recommended by NICE as the preferred addition to Metformin in this scenario?

Accepted Answer

SGLT-2 inhibitor (e.g., Dapagliflozin)

Answer

Sulfonylurea (e.g., Gliclazide)

Answer

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

Answer

Pioglitazone

Answer

Insulin

Practice question

A 55-year-old man with Type 2 Diabetes has an HbA1c of 60 mmol/mol despite taking Metformin 1g BD. He has established atherosclerotic cardiovascular disease (previous MI). Which medication class is recommended by NICE as the preferred addition to Metformin in this scenario?