A 46-year-old woman with long-standing type 2 diabetes treated with Metformin and lifestyle measures has an HbA1c of 76 mmol/mol (9.1%) despite good a...

Question

A 46-year-old woman with long-standing type 2 diabetes treated with Metformin and lifestyle measures has an HbA1c of 76 mmol/mol (9.1%) despite good adherence. She has no major comorbidities. What is the most appropriate next step in glycaemic management?

Accepted Answer

Add an SGLT2 inhibitor (for example, Empagliflozin)

Answer

Intensify lifestyle advice only and recheck in 6 months

Answer

Add a Sulfonylurea (for example, Gliclazide)

Answer

Stop Metformin and start basal insulin

Answer

Add a Thiazolidinedione (for example, Pioglitazone) as sole therapy

uk-plab-1 MCQ (SBA): Type 2 diabetes mellitus

A 46-year-old woman with long-standing type 2 diabetes treated with Metformin and lifestyle measures has an HbA1c of 76 mmol/mol (9.1%) despite good adherence. She has no major comorbidities. What is the most appropriate next step in glycaemic management?