Question

A 54-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 64 mmol/mol despite lifestyle advice. He has a BMI of 31 kg/m² and no contraindications to biguanides. What is the most appropriate pharmacological management?

Accepted Answer

Start Metformin monotherapy

Answer

Start Sulfonylurea monotherapy

Answer

Start basal–bolus insulin therapy

Answer

Start a DPP-4 inhibitor as monotherapy

Answer

No pharmacological treatment is indicated

Practice question

A 54-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 64 mmol/mol despite lifestyle advice. He has a BMI of 31 kg/m² and no contraindications to biguanides. What is the most appropriate pharmacological management?