A 55-year-old man is newly diagnosed with type 2 diabetes after HbA1c is 8.2% on two occasions. He has no cardiovascular disease and normal renal func...

Question

A 55-year-old man is newly diagnosed with type 2 diabetes after HbA1c is 8.2% on two occasions. He has no cardiovascular disease and normal renal function. According to Diabetes Canada pharmacologic guidelines, what is the most appropriate initial pharmacologic approach (in addition to lifestyle measures)?

Accepted Answer

Start metformin monotherapy

Answer

Start basal insulin immediately

Answer

Start a sulfonylurea monotherapy

Answer

Start dual therapy with metformin and basal insulin

Answer

Defer pharmacologic therapy and repeat HbA1c in 6 months

ca-mccqe1 MCQ (SBA): Type 2 diabetes mellitus