A 74-year-old woman with type 2 diabetes, CKD stage 3a (eGFR 54), and hypertension is seen in the diabetes clinic. Her HbA1c is 66 mmol/mol on Metform...

Question

A 74-year-old woman with type 2 diabetes, CKD stage 3a (eGFR 54), and hypertension is seen in the diabetes clinic. Her HbA1c is 66 mmol/mol on Metformin 1 g BD alone. According to NICE NG28, what is the MOST appropriate second-line agent to add?

Accepted Answer

Empagliflozin 10 mg daily

Answer

Gliclazide 40 mg OD

Answer

Pioglitazone 15 mg daily

Answer

Acarbose 50 mg TDS

Answer

Insulin glargine 10 units at night

uk-dgm MCQ (SBA): SGLT2 Inhibitor as Second-Line in Type 2 Diabetes

A 74-year-old woman with type 2 diabetes, CKD stage 3a (eGFR 54), and hypertension is seen in the diabetes clinic. Her HbA1c is 66 mmol/mol on Metformin 1 g BD alone. According to NICE NG28, what is the MOST appropriate second-line agent to add?