A 54-year-old overweight woman is newly diagnosed with type 2 diabetes with fasting glucose 8.5 mmol/L and HbA1c 64 mmol/mol (8.0%). She has no contra...

Question

A 54-year-old overweight woman is newly diagnosed with type 2 diabetes with fasting glucose 8.5 mmol/L and HbA1c 64 mmol/mol (8.0%). She has no contraindications to metformin and normal renal function. What is the most appropriate initial pharmacological management?

Accepted Answer

Start metformin in addition to lifestyle modification

Answer

Start insulin immediately

Answer

Start a sulfonylurea in addition to lifestyle modification

Answer

Start a GLP-1 receptor agonist as monotherapy

Answer

No pharmacological treatment needed

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

A 54-year-old overweight woman is newly diagnosed with type 2 diabetes with fasting glucose 8.5 mmol/L and HbA1c 64 mmol/mol (8.0%). She has no contraindications to metformin and normal renal function. What is the most appropriate initial pharmacological management?