SCE Endocrinology And Diabetes Practice Questions - Specialty Certificate Examination In Endocrinology And Diabetes Exam

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A newly diagnosed patient with type 2 diabetes has HbA1c 61 mmol/mol, BMI 31 kg/m2 and eGFR 78 mL/min/1.73 m2. There is no acute illness or contraindication. Which drug is the usual first-line glucose-lowering therapy?

Metformin Gliclazide for all patients Basal insulin for all patients Pioglitazone before lifestyle advice

Correct Answer:

Metformin

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