MRCP2-0227

MRCP2-0227

A 55-year-old man with a history of type 2 diabetes mellitus for five years is admitted to a village hospital due to chest pain. He takes metformin 500 mg tds and bendroflumethiazide 2.5 mg daily for hypertension. On examination, he is obese with a BMI of 32 kg/m2, has a pulse of 88 beats per minute, and a blood pressure of 148/92 mmHg. His ECG shows ST elevation in leads II, III, and aVF. Unfortunately, rescue PCI is not available, and he receives tenecteplase. His BM glucose concentrations range from 7-12 mmol/L, while his plasma glucose concentration obtained from the laboratory is 10.8 mmol/L (3.0-6.0).

What is the most appropriate treatment for his glycaemic control?