A 55-year-old with newly diagnosed type 2 diabetes has symptomatic hyperglycemia and A1C 10.6% (fasting glucose 320 mg/dL). eGFR is 70 mL/min/1.73 m²....

Question

A 55-year-old with newly diagnosed type 2 diabetes has symptomatic hyperglycemia and A1C 10.6% (fasting glucose 320 mg/dL). eGFR is 70 mL/min/1.73 m². What is the best initial glucose-lowering approach?

Accepted Answer

Initiate insulin therapy (with or without additional agents)

Answer

Start metformin alone

Answer

Start GLP-1 receptor agonist alone

Answer

Start SGLT2 inhibitor alone

Answer

Wait and repeat A1C in 3 months after lifestyle changes

us-abfm MCQ (SBA): Type 2 Diabetes-Initial Therapy

A 55-year-old with newly diagnosed type 2 diabetes has symptomatic hyperglycemia and A1C 10.6% (fasting glucose 320 mg/dL). eGFR is 70 mL/min/1.73 m². What is the best initial glucose-lowering approach?