A 58-year-old man with type 2 diabetes and BMI 31 kg/m² has an HbA1c of 72 mmol/mol (8.7%) despite lifestyle changes. He is not on glucose-lowering me...

Question

A 58-year-old man with type 2 diabetes and BMI 31 kg/m² has an HbA1c of 72 mmol/mol (8.7%) despite lifestyle changes. He is not on glucose-lowering medication. What is the most appropriate first-line pharmacological treatment?

Accepted Answer

Start Metformin monotherapy

Answer

Start Gliclazide monotherapy

Answer

Start basal insulin

Answer

Start Pioglitazone monotherapy

Answer

Start a GLP-1 receptor agonist

uk-plab-1 MCQ (SBA): Type 2 diabetes initial pharmacological management

A 58-year-old man with type 2 diabetes and BMI 31 kg/m² has an HbA1c of 72 mmol/mol (8.7%) despite lifestyle changes. He is not on glucose-lowering medication. What is the most appropriate first-line pharmacological treatment?