A 58-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 66 mmol/mol. His BMI is 32 kg/m². He has normal renal function and no cardiovas...

Question

A 58-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 66 mmol/mol. His BMI is 32 kg/m². He has normal renal function and no cardiovascular disease. What is the most appropriate initial pharmacological management?

Accepted Answer

Start Metformin alongside lifestyle measures

Answer

No drug therapy; lifestyle advice only

Answer

Start a Sulfonylurea such as Gliclazide

Answer

Start a DPP-4 inhibitor

Answer

Start an SGLT2 inhibitor as monotherapy

uk-plab-1 MCQ (SBA): Initial management of type 2 diabetes

A 58-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 66 mmol/mol. His BMI is 32 kg/m². He has normal renal function and no cardiovascular disease. What is the most appropriate initial pharmacological management?