EasyEndocrinologyInitial pharmacological management of type 2 diabetesau-amcau-racgp
A 58-year-old man with newly diagnosed type 2 diabetes mellitus and BMI 34 kg/m² has an HbA1c of 67 mmol/mol (8.3%) despite 3 months of lifestyle modification. His eGFR is 80 mL/min/1.73 m² and he has no contraindications to metformin. According to Australian primary care diabetes guidelines, what is the most appropriate next step in management?