Question

A 78-year-old man in a residential aged care facility with advanced dementia and limited life expectancy has type 2 diabetes. His current HbA1c is 48 mmol/mol (6.5 percent) on metformin and gliclazide, but he has had several episodes of hypoglycaemia. What is the most appropriate glycaemic management strategy?

Accepted Answer

De-intensify therapy by ceasing gliclazide and continuing metformin alone if tolerated

Answer

Tighten glycaemic control further with insulin

Answer

Maintain current regimen as HbA1c is excellent

Answer

Switch to high-dose SGLT2 inhibitor

Answer

Cease all diabetes medications immediately

Practice question