Question

A 65-year-old man with type 2 diabetes, obesity, and established coronary artery disease has an HbA1c of 7.8% on maximal tolerated metformin. eGFR is 60 mL/min/1.73 m². According to Diabetes Canada, which additional agent is preferred for cardiovascular risk reduction?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add a sulfonylurea

Answer

Add a DPP-4 inhibitor

Answer

Add acarbose

Answer

Switch to basal-bolus insulin regimen

Practice question

A 65-year-old man with type 2 diabetes, obesity, and established coronary artery disease has an HbA1c of 7.8% on maximal tolerated metformin. eGFR is 60 mL/min/1.73 m². According to Diabetes Canada, which additional agent is preferred for cardiovascular risk reduction?