Newly Diagnosed Type 2 Diabetes: Initiating First-line Therapy
Write a prescription for type 2 diabetes mellitus and have every line marked: drug choice, dose, route, frequency and duration, checked against the patient's allergies, current medicines, renal function and the interaction database, with each error explained.
easy8 scoring rules
- Patient
- 52 years, male, 101 kg
- Diagnosis
- Type 2 diabetes mellitus
- Renal function
- eGFR 95 mL/min/1.73m²
- Allergies
- None known
The scenario
A 52-year-old man presents to the diabetes clinic with a three-month history of increased thirst, polyuria, and fatigue. He has no significant past medical history. He is a non-smoker and drinks alcohol occasionally. On examination, his BMI is 33 kg/m², blood pressure is 142/88 mmHg, and the rest of the examination is unremarkable. Investigations show: HbA1c 58 mmol/mol (7.5%), fasting plasma glucose 9.2 mmol/L, serum creatinine 1.0 mg/dL, eGFR 95 mL/min/1.73m², ALT 28 U/L, and a lipid profile consistent with dyslipidaemia. He has no signs of complications. The clinical impression is newly diagnosed type 2 diabetes mellitus with no evidence of renal or hepatic impairment. Write a prescription for an appropriate medication to manage his diabetes, including any titration schedule, and provide appropriate patient counselling. Outline the annual monitoring required.
Your task
Allergies: none known. Current medications: none. Family history: mother with type 2 diabetes.
What gets marked
- Whether you chose an indicated drug, and whether you avoided the contraindicated ones.
- Dose, route, frequency and duration against the range for this patient.
- Renal and hepatic dose adjustment where this patient's numbers demand it.
- Allergy cross-reactivity and interactions with the medicines already on the chart.
- The instructions and monitoring you write, not only the drug you pick.
8 scoring rules apply to this scenario. A single critical error fails the attempt whatever the score.
Log in to prescribe for "Newly Diagnosed Type 2 Diabetes: Initiating First-line Therapy"
A free account opens the prescription pad: search the formulary, write the chart, and have it marked line by line by the safety engine.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.