A 59-year-old woman presents with polyuria and polydipsia. Fasting plasma glucose is 9.2 mmol/L on two occasions and HbA1c is 8.2%. She has no cardiov...

Question

A 59-year-old woman presents with polyuria and polydipsia. Fasting plasma glucose is 9.2 mmol/L on two occasions and HbA1c is 8.2%. She has no cardiovascular disease and eGFR is 70 mL/min/1.73 m². According to Diabetes Canada, what is the most appropriate initial pharmacologic therapy, in addition to lifestyle modification?

Accepted Answer

Start metformin monotherapy

Answer

Start basal insulin

Answer

Start a sulfonylurea such as gliclazide

Answer

Start an SGLT2 inhibitor as monotherapy

Answer

Delay pharmacotherapy and reassess in 3 months

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