A 55-year-old man with type 2 diabetes, A1c 10.8%, polyuria, and fasting glucose 315 mg/dL despite metformin 1,000 mg twice daily. What is the most ap...

Question

A 55-year-old man with type 2 diabetes, A1c 10.8%, polyuria, and fasting glucose 315 mg/dL despite metformin 1,000 mg twice daily. What is the most appropriate next step?

Accepted Answer

Start basal insulin now

Answer

Add a sulfonylurea

Answer

Add a DPP-4 inhibitor

Answer

Switch to GLP-1 RA only

Answer

Delay intensification and repeat A1c in 3 months

us-abfm MCQ (SBA): Type 2 Diabetes Mellitus

A 55-year-old man with type 2 diabetes, A1c 10.8%, polyuria, and fasting glucose 315 mg/dL despite metformin 1,000 mg twice daily. What is the most appropriate next step?