Question

A 60-year-old woman with T2D and obesity (BMI 36) asks whether to choose a GLP-1 RA or basal insulin as first injectable for suboptimal control (A1c 9.0%) without catabolic symptoms. Per ADA 2025?

Accepted Answer

GLP-1 RA preferred as first injectable

Answer

Basal insulin first for all

Answer

DPP-4 inhibitor injection

Answer

Premixed insulin first

Answer

No injectable therapy indicated

Practice question

A 60-year-old woman with T2D and obesity (BMI 36) asks whether to choose a GLP-1 RA or basal insulin as first injectable for suboptimal control (A1c 9.0%) without catabolic symptoms. Per ADA 2025?