A 50-year-old man presents with polyuria and polydipsia. Random glucose is 16.8 mmol/L; ketones 0.2 mmol/L. He has BMI 34 kg/m². What is the most appr...

Question

A 50-year-old man presents with polyuria and polydipsia. Random glucose is 16.8 mmol/L; ketones 0.2 mmol/L. He has BMI 34 kg/m². What is the most appropriate initial therapy?

Accepted Answer

Start metformin and lifestyle changes

Answer

Start insulin immediately

Answer

Start gliclazide immediately

Answer

Start SGLT2 inhibitor monotherapy

Answer

No treatment; recheck in 6 months

mrcgp akt MCQ (SBA): New T2DM initial therapy

A 50-year-old man presents with polyuria and polydipsia. Random glucose is 16.8 mmol/L; ketones 0.2 mmol/L. He has BMI 34 kg/m². What is the most appropriate initial therapy?