A 54-year-old man with type 2 diabetes (diagnosed 3 months ago) has an HbA1c of 8.4% (68 mmol/mol) despite lifestyle modification. He is overweight wi...

Question

A 54-year-old man with type 2 diabetes (diagnosed 3 months ago) has an HbA1c of 8.4% (68 mmol/mol) despite lifestyle modification. He is overweight with BMI 31 kg/m² and has normal renal function. According to Australian diabetes management guidance, what is the most appropriate next pharmacological step?

Accepted Answer

Commence Metformin and titrate as tolerated

Answer

Start basal insulin immediately

Answer

Start a sulfonylurea as first-line

Answer

Delay pharmacotherapy and review HbA1c in 6 months

Answer

Start an SGLT2 inhibitor as first-line monotherapy

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