A 58-year-old woman with newly diagnosed type 2 diabetes has an HbA1c of 8.4% despite optimal lifestyle measures for 3 months. She has BMI 31 kg/m², e...

Question

A 58-year-old woman with newly diagnosed type 2 diabetes has an HbA1c of 8.4% despite optimal lifestyle measures for 3 months. She has BMI 31 kg/m², eGFR 85 mL/min/1.73 m², and no cardiovascular disease. According to Diabetes Canada, what is the most appropriate initial pharmacologic therapy?

Accepted Answer

Start metformin

Answer

Start basal insulin

Answer

Start a sulfonylurea

Answer

Start a DPP-4 inhibitor

Answer

Start a GLP-1 receptor agonist as monotherapy

ca-mccqe1 MCQ (SBA): Initial pharmacologic therapy in type 2 diabetes

A 58-year-old woman with newly diagnosed type 2 diabetes has an HbA1c of 8.4% despite optimal lifestyle measures for 3 months. She has BMI 31 kg/m², eGFR 85 mL/min/1.73 m², and no cardiovascular disease. According to Diabetes Canada, what is the most appropriate initial pharmacologic therapy?