A 52-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 66 mmol/mol (8.2%) despite 3 months of lifestyle intervention. BMI is 32 kg/m²,...

Question

A 52-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 66 mmol/mol (8.2%) despite 3 months of lifestyle intervention. BMI is 32 kg/m², eGFR 80 mL/min/1.73 m², and there is no clinical cardiovascular disease or albuminuria. What is the most appropriate next step in glycaemic management?

Accepted Answer

Start metformin and encourage ongoing lifestyle measures

Answer

Continue lifestyle modification alone and recheck HbA1c in 6 months

Answer

Start basal insulin glargine at night

Answer

Start a sulfonylurea such as gliclazide as monotherapy

Answer

Commence an SGLT2 inhibitor as first-line monotherapy

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