Question

A 65-year-old man with type 2 diabetes and established ischaemic heart disease is taking Metformin at maximum tolerated dose. His HbA1c remains 71 mmol/mol. According to current NICE guidance, which additional class of drug is most appropriate to add?

Accepted Answer

An SGLT2 inhibitor

Answer

A thiazolidinedione

Answer

A sulfonylurea as sole add-on

Answer

A GLP-1 receptor agonist as first add-on

Answer

Insulin as first add-on therapy

Practice question

A 65-year-old man with type 2 diabetes and established ischaemic heart disease is taking Metformin at maximum tolerated dose. His HbA1c remains 71 mmol/mol. According to current NICE guidance, which additional class of drug is most appropriate to add?