Question

A 58-year-old man with newly diagnosed type 2 diabetes (HbA1c 8.2%) and BMI 32 kg/m² has normal renal function and no cardiovascular disease. Lifestyle changes have been discussed. According to Diabetes Canada pharmacologic recommendations, which drug is preferred as initial pharmacotherapy?

Accepted Answer

Metformin

Answer

Sulfonylurea (e.g., gliclazide)

Answer

Basal insulin

Answer

DPP-4 inhibitor (e.g., sitagliptin)

Answer

Thiazolidinedione (e.g., pioglitazone)

Practice question

A 58-year-old man with newly diagnosed type 2 diabetes (HbA1c 8.2%) and BMI 32 kg/m² has normal renal function and no cardiovascular disease. Lifestyle changes have been discussed. According to Diabetes Canada pharmacologic recommendations, which drug is preferred as initial pharmacotherapy?