A 46 year old man with Type 2 Diabetes Mellitus attends his review. His Haemoglobin A1c (HbA1c) has risen to 61mmol/mol despite diet change, exercise and Metformin. He has a past medical history of bladder cancer but no other medical conditions. He asks you not to prescribe anything which risks hypoglycaemia due to his job.
What would be the most appropriate next step in management?
