Question

A 45-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 8.4%. He has no significant comorbidities and normal renal and hepatic function. He is overweight and sedentary. According to Diabetes Canada, what is the most appropriate initial pharmacologic strategy?

Accepted Answer

Start metformin plus a second glucose-lowering agent because his HbA1c is more than 1.5% above target

Answer

Start metformin monotherapy and reassess in 3 years

Answer

Delay pharmacotherapy and focus solely on lifestyle measures for 6-12 months

Answer

Start basal insulin as first-line pharmacotherapy

Answer

Start a sulfonylurea alone because it is inexpensive

Practice question

A 45-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 8.4%. He has no significant comorbidities and normal renal and hepatic function. He is overweight and sedentary. According to Diabetes Canada, what is the most appropriate initial pharmacologic strategy?