Question

A 52-year-old with symptomatic hyperglycemia (polyuria, weight loss) has A1C 10.5%. No contraindications to insulin. What is the best next step?

Accepted Answer

Start basal insulin (e.g., insulin glargine) and titrate

Answer

Start metformin only

Answer

Start GLP-1 receptor agonist only

Answer

Start SGLT2 inhibitor only

Answer

Delay therapy and repeat A1C in 3 months

Practice question

A 52-year-old with symptomatic hyperglycemia (polyuria, weight loss) has A1C 10.5%. No contraindications to insulin. What is the best next step?