Question

A 45-year-old with type 2 diabetes on metformin (eGFR 75 mL/min/1.73 m²) and established ASCVD has A1c 7.9%. Which change best aligns with current standards?

Accepted Answer

Add a GLP-1 receptor agonist with proven cardiovascular benefit

Answer

Switch metformin to basal insulin

Answer

Add a sulfonylurea as first add-on

Answer

No change; A1c goal should be 8.5% for all

Answer

Start pioglitazone regardless of weight gain risk

Practice question

A 45-year-old with type 2 diabetes on metformin (eGFR 75 mL/min/1.73 m²) and established ASCVD has A1c 7.9%. Which change best aligns with current standards?