Question

A 57-year-old man with newly diagnosed type 2 diabetes (HbA1c 66 mmol/mol) and BMI 32 kg/m² has normal renal function and no established cardiovascular disease. He is highly motivated to change his lifestyle. According to Australian guidelines, what is the most appropriate initial pharmacological treatment alongside lifestyle modification?

Accepted Answer

Start metformin and review response in 3 months

Answer

Start insulin glargine at night

Answer

Start a sulfonylurea (e.g. gliclazide) as first-line treatment

Answer

Start a GLP-1 receptor agonist as monotherapy

Answer

Withhold pharmacotherapy and use lifestyle modification alone for 12 months

Practice question