Question

A 50-year-old man with newly diagnosed type 2 diabetes (HbA1c 8.2%) presents to his family physician. He has a BMI of 32 kg/m², blood pressure 132/82 mmHg and no cardiovascular disease. Renal function is normal. Which of the following is the most appropriate initial pharmacologic management?

Accepted Answer

Begin metformin and reinforce lifestyle modification.

Answer

Start lifestyle modification alone and reassess HbA1c in 12 months.

Answer

Start basal insulin immediately.

Answer

Start a sulfonylurea as first-line therapy.

Answer

Start an SGLT2 inhibitor as monotherapy.

Practice question

A 50-year-old man with newly diagnosed type 2 diabetes (HbA1c 8.2%) presents to his family physician. He has a BMI of 32 kg/m², blood pressure 132/82 mmHg and no cardiovascular disease. Renal function is normal. Which of the following is the most appropriate initial pharmacologic management?