Question

A 75-year-old with type 2 diabetes on metformin and GLP-1 RA has A1C 9.5% with symptomatic hyperglycemia. eGFR 68 mL/min/1.73 m². What is the recommended escalation?

Accepted Answer

Add basal insulin (e.g., insulin glargine)

Answer

Switch GLP-1 RA to DPP-4 inhibitor

Answer

Add acarbose

Answer

Add sulfonylurea only

Answer

No change; recheck in 3 months

Practice question

A 75-year-old with type 2 diabetes on metformin and GLP-1 RA has A1C 9.5% with symptomatic hyperglycemia. eGFR 68 mL/min/1.73 m². What is the recommended escalation?