Exam questionKROK 2Medicine · 2019
A 73-year-old woman came to the family physician for one of her regular follow-up examinations. Three months ago she was found to have type 2 diabetes mellitus. She was keeping to her diet and exercise plan and taking phytopreparations. On examination her fasting glucose was within the range of 7.8 – 8.6 mmol/L, HbAlc – 79%. Height – 134 cm, weight – 83 kg. What blood sugar-controlling medicine should she be prescribed first in the course of her pharmacological therapy?
Answer options
- Glimepiride
- Gliclazide
- Metformin
- Glibenclamide
- Insulin
Correct answer
Metformin
Explanation
Metformin, is the first-line medication for the treatment of type 2 diabetes, particularly in people who are overweight. Metformin is sometimes used together with insulin or other medications, but it is not for treating type 1 diabetes.
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