A 70-year-old woman with a CFS of 3 and newly diagnosed type 2 diabetes (HbA1c 52 mmol/mol) is counselled about her condition. She has a BMI of 31 and...

Question

A 70-year-old woman with a CFS of 3 and newly diagnosed type 2 diabetes (HbA1c 52 mmol/mol) is counselled about her condition. She has a BMI of 31 and no other comorbidities. According to NICE NG28, what is the FIRST-LINE management?

Accepted Answer

Structured education on diet and lifestyle, including weight management and physical activity, with Metformin 500 mg once daily (titrated upwards) if lifestyle measures alone are insufficient

Answer

Start Metformin immediately without lifestyle advice

Answer

Start insulin immediately

Answer

Start Gliclazide 80 mg BD

Answer

No treatment needed at HbA1c 52

uk-dgm MCQ (SBA): First-Line Management of New Type 2 Diabetes

A 70-year-old woman with a CFS of 3 and newly diagnosed type 2 diabetes (HbA1c 52 mmol/mol) is counselled about her condition. She has a BMI of 31 and no other comorbidities. According to NICE NG28, what is the FIRST-LINE management?