Question

A 52-year-old man is newly diagnosed with type 2 diabetes after fasting plasma glucose 8.4 mmol/L and HbA1c 8.1%. He has no symptoms, normal renal function and no established cardiovascular disease. According to Diabetes Canada, which is the most appropriate initial pharmacologic approach alongside lifestyle modification?

Accepted Answer

Start metformin monotherapy

Answer

Begin insulin therapy immediately

Answer

Start a sulphonylurea as first-line therapy

Answer

Start combination insulin and sulphonylurea

Answer

Delay pharmacologic therapy for 6 months while trialling lifestyle alone

Practice question