A 38-year-old woman with well-controlled type 2 diabetes on metformin requests CHC. She has no microvascular complications. Metformin is not an enzyme...

Question

A 38-year-old woman with well-controlled type 2 diabetes on metformin requests CHC. She has no microvascular complications. Metformin is not an enzyme inducer. What additional monitoring might be considered when starting CHC?

Accepted Answer

Consider checking HbA1c periodically as oestrogen may affect glucose metabolism. However, current evidence does not suggest clinically significant deterioration in glycaemic control with CHC

Answer

No additional monitoring needed beyond standard CHC review

Answer

Monthly blood glucose monitoring is mandatory

Answer

CHC is contraindicated with metformin

Answer

She must switch from metformin to insulin before starting CHC

uk-dfsrh MCQ (SBA): CHC with Metformin Diabetes Monitoring

A 38-year-old woman with well-controlled type 2 diabetes on metformin requests CHC. She has no microvascular complications. Metformin is not an enzyme inducer. What additional monitoring might be considered when starting CHC?