A 62-year-old woman with newly diagnosed type 2 diabetes has an HbA1c of 8.1% and no cardiovascular disease or chronic kidney disease. Her estimated g...

Question

A 62-year-old woman with newly diagnosed type 2 diabetes has an HbA1c of 8.1% and no cardiovascular disease or chronic kidney disease. Her estimated glomerular filtration rate is 85 mL/min/1.73 m². According to Diabetes Canada, which is the most appropriate initial pharmacologic therapy?

Accepted Answer

Start metformin and reassess HbA1c in 3 months

Answer

Initiate basal insulin with self-titration

Answer

Start a sulfonylurea as first-line monotherapy

Answer

Start a sodium-glucose cotransporter-2 inhibitor as monotherapy

Answer

Delay pharmacotherapy and intensify lifestyle measures only

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

A 62-year-old woman with newly diagnosed type 2 diabetes has an HbA1c of 8.1% and no cardiovascular disease or chronic kidney disease. Her estimated glomerular filtration rate is 85 mL/min/1.73 m². According to Diabetes Canada, which is the most appropriate initial pharmacologic therapy?