A 47-year-old with new type 2 diabetes (A1c 9.6%, symptomatic hyperglycemia) has glucose 380 mg/dL without ketoacidosis. Best initial pharmacotherapy?...

Question

A 47-year-old with new type 2 diabetes (A1c 9.6%, symptomatic hyperglycemia) has glucose 380 mg/dL without ketoacidosis. Best initial pharmacotherapy?

Accepted Answer

Basal insulin ± additional agents

Answer

Metformin monotherapy

Answer

Sulfonylurea monotherapy

Answer

DPP-4 inhibitor

Answer

SGLT2 inhibitor monotherapy

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

A 47-year-old with new type 2 diabetes (A1c 9.6%, symptomatic hyperglycemia) has glucose 380 mg/dL without ketoacidosis. Best initial pharmacotherapy?