You are caring for a 55-year-old male who is 5'9" and 225 lbs and was recently diagnosed with T2DM.He has no other comorbidities at this time and is on no medication.Today's visit is to discuss your suggested management of his problem.His recent HbA1c level was 6%.Based on this brief history,which of the following treatments are you most likely to suggest for this patient?

Question

Quizplus · Accepted Answer

Based on the patient's recent HbA1c level of 6%, it is recommended to start with oral hypoglycemic medication, specifically metformin, which is considered first-line therapy for type 2 diabetes. Starting with two different oral hypoglycemics or immediately starting on insulin is not necessary at this time, as the patient's HbA1c is well-controlled. Treating with diet only may not be sufficient to manage the patient's diabetes. Sulfonylureas are an option, but given the patient's weight, metformin would be a better choice as it does not cause weight gain.

You Are Caring for a 55-Year-Old Male Who Is 5'9