Question

A 59-year-old man with newly diagnosed type 2 diabetes mellitus has BMI 32 kg/m² and an HbA1c of 63 mmol/mol despite 3 months of lifestyle changes. There is no cardiovascular or kidney disease. According to Australian primary care diabetes guidelines, what is the most appropriate next step?

Accepted Answer

Add metformin while continuing lifestyle modification

Answer

Start basal-bolus insulin immediately

Answer

Start a sulfonylurea such as gliclazide as first-line therapy

Answer

Start an SGLT2 inhibitor as first-line monotherapy

Answer

Delay pharmacotherapy for a further 6 months

Practice question

A 59-year-old man with newly diagnosed type 2 diabetes mellitus has BMI 32 kg/m² and an HbA1c of 63 mmol/mol despite 3 months of lifestyle changes. There is no cardiovascular or kidney disease. According to Australian primary care diabetes guidelines, what is the most appropriate next step?