A 52-year-old man with newly diagnosed type 2 diabetes (HbA1c 7.8% [62 mmol/mol]) has a BMI of 32 kg/m² and no renal impairment. He has implemented di...

Question

A 52-year-old man with newly diagnosed type 2 diabetes (HbA1c 7.8% [62 mmol/mol]) has a BMI of 32 kg/m² and no renal impairment. He has implemented diet and exercise changes for 3 months with little improvement. According to Australian guidelines, what is the most appropriate next pharmacological step?

Accepted Answer

Start metformin as first-line pharmacotherapy

Answer

Start basal insulin immediately

Answer

Start a sulfonylurea as first-line therapy

Answer

Start a GLP-1 receptor agonist as first-line therapy

Answer

Delay drug therapy for another 6 months

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