Question

A 58-year-old man with newly diagnosed type 2 diabetes has HbA1c 61 mmol/mol (7.7%) after 3 months of lifestyle modification. His BMI is 31 kg/m² and eGFR is 70 mL/min/1.73 m². According to Australian diabetes guidelines, what is the most appropriate next step in glycaemic management?

Accepted Answer

Start metformin as first-line pharmacotherapy

Answer

Start basal insulin at night

Answer

Start gliclazide as first-line therapy

Answer

Delay pharmacotherapy and review in 6 months

Answer

Start dual therapy with metformin and insulin immediately

Practice question

A 58-year-old man with newly diagnosed type 2 diabetes has HbA1c 61 mmol/mol (7.7%) after 3 months of lifestyle modification. His BMI is 31 kg/m² and eGFR is 70 mL/min/1.73 m². According to Australian diabetes guidelines, what is the most appropriate next step in glycaemic management?