You Have Just Examined a 45-Year-Old,slightly Obese Female Who You

Multiple Choice

You have just examined a 45-year-old,slightly obese female who you diagnosed with T2DM 1 to 2 months ago.Her remaining medical history is unremarkable.Your first line of treatment consisted of the ADA's diet and exercise.You notice her self-reported blood glucose levels have shown an occasional hypoglycemic episode.When she returns today,she is still not in glycemic control.Which step would you recommended next in the treatment of this patient?

A) Begin insulin therapy immediately
B) Begin a single pharmacological agent,metformin (Glucophage)
C) Begin a single pharmacological agent,a sulfonylurea
D) Begin treatment with two agents,metformin and a sulfonylurea