A 58-year-old man with type 2 diabetes and prior MI (ASCVD) has A1c 7.4% on metformin. eGFR 70 mL/min/1.73 m². What is the most appropriate addition t...

Question

A 58-year-old man with type 2 diabetes and prior MI (ASCVD) has A1c 7.4% on metformin. eGFR 70 mL/min/1.73 m². What is the most appropriate addition to reduce cardiovascular risk?

Accepted Answer

GLP-1 receptor agonist with CV benefit (e.g., semaglutide)

Answer

Sulfonylurea

Answer

Pioglitazone

Answer

Basal insulin

Answer

Alpha-glucosidase inhibitor

us-usmle-step-2 MCQ (SBA): Type 2 Diabetes with ASCVD

A 58-year-old man with type 2 diabetes and prior MI (ASCVD) has A1c 7.4% on metformin. eGFR 70 mL/min/1.73 m². What is the most appropriate addition to reduce cardiovascular risk?