A 45-year-old man with BMI 32 kg/m² and a 5-year history of type 2 diabetes managed with lifestyle alone has HbA1c 8.0%. He has normal renal function ...

Question

A 45-year-old man with BMI 32 kg/m² and a 5-year history of type 2 diabetes managed with lifestyle alone has HbA1c 8.0%. He has normal renal function and no cardiovascular disease. According to Diabetes Canada, what is the MOST appropriate initial pharmacologic therapy?

Accepted Answer

Start metformin and reassess HbA1c in 3 months

Answer

Start gliclazide modified release

Answer

Start metformin and basal insulin together

Answer

Start an SGLT2 inhibitor as monotherapy

Answer

Start a DPP-4 inhibitor as monotherapy

ca-mccqe1 MCQ (SBA): Type 2 diabetes - initial pharmacologic therapy

A 45-year-old man with BMI 32 kg/m² and a 5-year history of type 2 diabetes managed with lifestyle alone has HbA1c 8.0%. He has normal renal function and no cardiovascular disease. According to Diabetes Canada, what is the MOST appropriate initial pharmacologic therapy?