Question

A 54-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 68 mmol/mol despite 3 months of lifestyle modification. His BMI is 33 kg/m², eGFR 80 mL/min/1.73 m² and liver function tests are normal. He takes no regular medication. What is the single most appropriate next step?

Accepted Answer

Start Metformin modified-release

Answer

Start Gliclazide

Answer

Start Insulin glargine

Answer

Start Sitagliptin

Answer

Continue lifestyle measures only for a further 3 months

Practice question

A 54-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 68 mmol/mol despite 3 months of lifestyle modification. His BMI is 33 kg/m², eGFR 80 mL/min/1.73 m² and liver function tests are normal. He takes no regular medication. What is the single most appropriate next step?