Task: Question Answering
Input (English): Question: A 78-year-old woman has recently been diagnosed with diabetes mellitus type 2. She has a history of deep vein thrombosis 5 years ago, high blood pressure, depression and generalized anxiety. Take hydrochlorothiazide, lisinopril, citalopram and aspirin. Live alone in sheltered apartments. Eat little, typically coffee and toast for breakfast, fruit and half a sandwich to eat and salad for dinner. Walk 1.5 km daily. It measures 152 cm and weighs 39 Kg. The blood pressure is 130/80 mmHg and the heart rate is 82 bpm. Laboratory tests included basal glycemia of 147 mg / dL (1 month ago it was 152 mg / dL), creatinine 1.0 mg / dL (estimated glomerular filtration rate 28 ml / min), urea 32 mg / dL and glycosylated hemoglobin 9 ,5%. Which of the following is the best initial treatment for diabetes? 
 Options:  <1> Insulin glargine subcutaneous 8 U per day. <2> Oral metformin at a dose of 850 mg every 12 hours. <3> Oral Glibenclamide 10 mg daily. <4> It does not need pharmacological treatment, only diet. <5> Pioglitazone 15 mg daily.
Output (English): 1