Question

A 58-year-old overweight man with newly diagnosed type 2 diabetes has HbA1c 64 mmol/mol despite lifestyle measures. eGFR is normal. What is the most appropriate first-line pharmacological therapy?

Accepted Answer

Start Metformin monotherapy

Answer

Start insulin immediately

Answer

Start Gliclazide monotherapy

Answer

Start an SGLT2 inhibitor alone

Answer

No medication; lifestyle only

Practice question

A 58-year-old overweight man with newly diagnosed type 2 diabetes has HbA1c 64 mmol/mol despite lifestyle measures. eGFR is normal. What is the most appropriate first-line pharmacological therapy?