A 60-year-old woman with type 2 diabetes for 8 years, established coronary artery disease and an eGFR of 60 mL/min/1.73 m² has an HbA1c of 8.4%. She i...

Question

A 60-year-old woman with type 2 diabetes for 8 years, established coronary artery disease and an eGFR of 60 mL/min/1.73 m² has an HbA1c of 8.4%. She is on metformin 1 g twice daily. According to Diabetes Canada, which additional medication is MOST appropriate to add to reduce both cardiovascular risk and improve glycaemic control?

Accepted Answer

SGLT2 inhibitor with proven cardiovascular benefit

Answer

Gliclazide modified release

Answer

Neutral protamine Hagedorn (NPH) insulin at bedtime

Answer

Dipeptidyl peptidase-4 (DPP-4) inhibitor

Answer

Thiazolidinedione (pioglitazone)

ca-mccqe1 MCQ (SBA): Type 2 diabetes mellitus with ASCVD