29th May 2025

A 58-year-old female with type 2 diabetes mellitus presents for a routine follow-up.

A 58-year-old female with type 2 diabetes mellitus presents for a routine follow-up. Despite lifestyle modifications and being on maximum tolerated doses of metformin and a sulfonylurea, her glycaemic control remains suboptimal, with an HbA1c of 62 mmol/L. She has a BMI of 27kg/m2 and a history of recurrent UTIs. What is the most appropriate next step in management?

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