Question

A 45-year-old with BMI 32 kg/m², A1c 8.6%, ASCVD, and eGFR 55 mL/min/1.73 m² is on metformin. According to current standards, which addition provides cardiovascular and kidney benefit independent of A1c?

Accepted Answer

Add GLP-1 receptor agonist with proven CV benefit

Answer

Add sulfonylurea

Answer

Increase metformin to 3 g/day

Answer

Add pioglitazone

Answer

Start basal insulin immediately

Practice question

A 45-year-old with BMI 32 kg/m², A1c 8.6%, ASCVD, and eGFR 55 mL/min/1.73 m² is on metformin. According to current standards, which addition provides cardiovascular and kidney benefit independent of A1c?