A 52-year-old overweight man (BMI 31 kg/m²) is diagnosed with type 2 diabetes after fasting plasma glucose 8.2 mmol/L on two occasions. He has no symp...

Question

A 52-year-old overweight man (BMI 31 kg/m²) is diagnosed with type 2 diabetes after fasting plasma glucose 8.2 mmol/L on two occasions. He has no symptoms, no significant comorbidities and normal renal and hepatic function. What is the most appropriate initial pharmacological management?

Accepted Answer

Commence metformin in addition to lifestyle modification

Answer

Commence metformin and an SGLT2 inhibitor together

Answer

Start basal insulin at night

Answer

Start gliclazide modified release 60 mg daily

Answer

Defer pharmacological therapy for 12 months while monitoring

au-amc MCQ (SBA): Type 2 diabetes (initial management)

A 52-year-old overweight man (BMI 31 kg/m²) is diagnosed with type 2 diabetes after fasting plasma glucose 8.2 mmol/L on two occasions. He has no symptoms, no significant comorbidities and normal renal and hepatic function. What is the most appropriate initial pharmacological management?