A 52-year-old man with obesity (BMI 32 kg/m²) is newly diagnosed with type 2 diabetes mellitus after HbA1c is 7.6% (60 mmol/mol) on two occasions. He ...

Question

A 52-year-old man with obesity (BMI 32 kg/m²) is newly diagnosed with type 2 diabetes mellitus after HbA1c is 7.6% (60 mmol/mol) on two occasions. He has no symptoms, no cardiovascular disease and eGFR is 80 mL/min/1.73 m². Lifestyle modification has been discussed. According to Australian general practice diabetes guidelines, what is the most appropriate initial pharmacological therapy?

Accepted Answer

Commence metformin monotherapy

Answer

Start basal insulin

Answer

Begin a sulfonylurea

Answer

Start an SGLT2 inhibitor as monotherapy

Answer

No pharmacological therapy; lifestyle only

au-amc MCQ (SBA): Type 2 diabetes mellitus