Question

A 60-year-old man with newly diagnosed type 2 diabetes has HbA1c 60 mmol/mol despite 6 months of lifestyle interventions including diet and exercise. His BMI is 32 kg/m² and eGFR is 70 mL/min/1.73 m². What is the most appropriate next step in management?

Accepted Answer

Start Metformin and continue lifestyle measures

Answer

Start Sulfonylurea monotherapy

Answer

Start basal insulin immediately

Answer

Start Pioglitazone monotherapy

Answer

No pharmacological treatment is required

Practice question

A 60-year-old man with newly diagnosed type 2 diabetes has HbA1c 60 mmol/mol despite 6 months of lifestyle interventions including diet and exercise. His BMI is 32 kg/m² and eGFR is 70 mL/min/1.73 m². What is the most appropriate next step in management?