A 56-year-old with T2DM, ASCVD, and eGFR 70 is on metformin. A1c 7.7%. What combination best addresses glycemia and CV risk?...

Question

A 56-year-old with T2DM, ASCVD, and eGFR 70 is on metformin. A1c 7.7%. What combination best addresses glycemia and CV risk?

Accepted Answer

Add both GLP-1 RA or SGLT2 inhibitor (one or the other) with proven CV benefit

Answer

Add sulfonylurea then reassess

Answer

Add DPP-4 inhibitor

Answer

Add basal insulin immediately

Answer

No change; A1c acceptable

us-abim MCQ (SBA): T2DM-ASCVD Focus