A 50-year-old woman with newly diagnosed type 2 diabetes has HbA1c 7.8% despite lifestyle changes after 3 months. She has no cardiovascular disease or...

Question

A 50-year-old woman with newly diagnosed type 2 diabetes has HbA1c 7.8% despite lifestyle changes after 3 months. She has no cardiovascular disease or kidney disease. According to Diabetes Canada pharmacologic guidelines, what is the most appropriate initial pharmacologic therapy?

Accepted Answer

Start metformin

Answer

Start basal insulin

Answer

Start sulfonylurea

Answer

Start SGLT2 inhibitor as monotherapy

Answer

No pharmacologic therapy is required at this HbA1c

ca-mccqe1 MCQ (SBA): Initial pharmacologic treatment of type 2 diabetes

A 50-year-old woman with newly diagnosed type 2 diabetes has HbA1c 7.8% despite lifestyle changes after 3 months. She has no cardiovascular disease or kidney disease. According to Diabetes Canada pharmacologic guidelines, what is the most appropriate initial pharmacologic therapy?