A 46-year-old Aboriginal man from a remote community has type 2 diabetes diagnosed 2 years ago. He smokes 10 cigarettes per day, has BMI 32 kg/m² and ...

Question

A 46-year-old Aboriginal man from a remote community has type 2 diabetes diagnosed 2 years ago. He smokes 10 cigarettes per day, has BMI 32 kg/m² and blood pressure 140/90 mmHg. HbA1c is 8.4% despite maximum tolerated metformin. What is the most appropriate next pharmacological step to address his glycaemic control and cardiovascular risk?

Accepted Answer

Add an SGLT2 inhibitor with cardiovascular benefit

Answer

Add a sulfonylurea such as gliclazide

Answer

Delay intensification and focus only on lifestyle change

Answer

Switch metformin to basal insulin monotherapy

Answer

Rely on traditional bush medicines only and cease Western medicines

au-amc MCQ (SBA): Diabetes in Aboriginal and Torres Strait Islander person