A 60-year-old with T2DM, BMI 34 kg/m², prior MI, A1c 7.3% on metformin. Best glucose-lowering agent with proven CV benefit to add now?...

Question

A 60-year-old with T2DM, BMI 34 kg/m², prior MI, A1c 7.3% on metformin. Best glucose-lowering agent with proven CV benefit to add now?

Accepted Answer

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

Answer

Add sulfonylurea

Answer

Add basal insulin

Answer

Add pioglitazone

Answer

No change; A1c is acceptable

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