if, at time of diagnosis, the fasting glucose is >= 13mmol/L (and the usual diet for the patient does not have excessive sugar) then it is likely that the patient will require oral hypoglycaemic agents (as well as dietary advice) from the onset of management (1). In general the first-line agent for type 2 diabetes is metformin
Reference:
Personal Communication (October 12th 2006). Aresh Anwar, Consultant Diabetologist, University Hospitals Coventry and Warwickshire.
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