A 49-year-old overweight woman (BMI 31 kg/m²) is newly diagnosed with type 2 diabetes after fasting glucose 8.2 mmol/L on two occasions and HbA1c 7.3%...

Question

A 49-year-old overweight woman (BMI 31 kg/m²) is newly diagnosed with type 2 diabetes after fasting glucose 8.2 mmol/L on two occasions and HbA1c 7.3% (56 mmol/mol). She has no symptoms, normal renal function and no established CVD. What is the most appropriate initial pharmacological management in addition to lifestyle advice?

Accepted Answer

Start metformin

Answer

Start gliclazide

Answer

Start insulin glargine

Answer

Start sitagliptin

Answer

No pharmacotherapy is required at this stage

au-amc MCQ (SBA): Newly diagnosed type 2 diabetes