Question

A 54-year-old man is newly diagnosed with type 2 diabetes after an A1c of 8.3%. He has no cardiovascular disease, normal renal function, and BMI 29 kg/m². Blood pressure and lipids are controlled with medication. What is the most appropriate initial pharmacologic therapy?

Accepted Answer

Metformin monotherapy

Answer

Basal insulin at bedtime

Answer

Glipizide monotherapy

Answer

Dual therapy with metformin and basal insulin

Answer

No pharmacologic therapy; lifestyle changes only

Practice question

A 54-year-old man is newly diagnosed with type 2 diabetes after an A1c of 8.3%. He has no cardiovascular disease, normal renal function, and BMI 29 kg/m². Blood pressure and lipids are controlled with medication. What is the most appropriate initial pharmacologic therapy?