Question

A 58-year-old man with newly diagnosed type 2 diabetes and BMI 31 kg/m² has an HbA1c of 69 mmol/mol despite lifestyle advice. According to NICE guidance, what is the most appropriate first-line pharmacological treatment?

Accepted Answer

Start metformin and titrate as tolerated

Answer

Start long-acting insulin immediately

Answer

Start a sulfonylurea alone as first-line

Answer

Start a GLP-1 receptor agonist as monotherapy

Answer

Delay drug therapy for 12 months and repeat HbA1c

Practice question

A 58-year-old man with newly diagnosed type 2 diabetes and BMI 31 kg/m² has an HbA1c of 69 mmol/mol despite lifestyle advice. According to NICE guidance, what is the most appropriate first-line pharmacological treatment?