29th May 2025

You review a 45-year-old man in general practice diagnosed with type 2 diabetes.

You review a 45-year-old man in general practice diagnosed with type 2 diabetes. The patient has been trying to implement dietary changes and regular exercise into their lifestyle to control their diabetes. The patient has a BMI of 32, the same as 6 months ago, and a repeat HbA1c is measured at 54 mmol/L. There is no evidence of renal impairment. What is the most appropriate next step in the management of this patient’s diabetes?

Select the SINGLE most appropriate option from the list below. Select ONE option only.