A 58-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 63 mmol/mol despite lifestyle advice for 3 months. His BMI is 31 kg/m² and his ...

Question

A 58-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 63 mmol/mol despite lifestyle advice for 3 months. His BMI is 31 kg/m² and his renal function is normal. According to NICE, what is the most appropriate first-line pharmacological therapy?

Accepted Answer

Start Metformin

Answer

Start insulin immediately

Answer

Start Sulfonylurea monotherapy

Answer

Start a GLP-1 receptor agonist

Answer

Start an SGLT2 inhibitor as monotherapy

uk-plab-1 MCQ (SBA): Type 2 diabetes mellitus

A 58-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 63 mmol/mol despite lifestyle advice for 3 months. His BMI is 31 kg/m² and his renal function is normal. According to NICE, what is the most appropriate first-line pharmacological therapy?