Question

A 72-year-old woman with vomiting and diarrhoea for 2 days has type 2 diabetes on metformin. She is dehydrated. Which medication advice is most appropriate during this acute illness?

Accepted Answer

Temporarily stop metformin until eating and drinking normally

Answer

Continue metformin to maintain glycaemic control

Answer

Double metformin dose to counter stress hyperglycaemia

Answer

Start an SGLT2 inhibitor for glycosuria

Answer

Add sliding-scale insulin in the community

Practice question

A 72-year-old woman with vomiting and diarrhoea for 2 days has type 2 diabetes on metformin. She is dehydrated. Which medication advice is most appropriate during this acute illness?