Question

A 58-year-old man with newly diagnosed type 2 diabetes (HbA1c 8.2% despite lifestyle measures) has BMI 31 kg/m², eGFR 75 mL/min/1.73 m² and no established cardiovascular disease. According to Australian primary care guidance, what is the most appropriate initial pharmacological therapy?

Accepted Answer

Start metformin as monotherapy and continue lifestyle modification

Answer

Commence basal insulin immediately

Answer

Start a sulfonylurea such as gliclazide as first-line monotherapy

Answer

Begin an SGLT2 inhibitor as first-line pharmacotherapy without metformin

Answer

Delay pharmacotherapy for 12 months while intensifying lifestyle measures

Practice question

A 58-year-old man with newly diagnosed type 2 diabetes (HbA1c 8.2% despite lifestyle measures) has BMI 31 kg/m², eGFR 75 mL/min/1.73 m² and no established cardiovascular disease. According to Australian primary care guidance, what is the most appropriate initial pharmacological therapy?