A 57-year-old woman with type 2 diabetes has heart failure with reduced ejection fraction and HbA1c 64 mmol/mol. eGFR is 55 ml/min/1.73 m2. She is

Question

A 57-year-old woman with type 2 diabetes has heart failure with reduced ejection fraction and HbA1c 64 mmol/mol. eGFR is 55 ml/min/1.73 m2. She is taking gliclazide but no metformin because of previous intolerance. What is the most appropriate glucose-lowering treatment change?

Accepted Answer

Introduce an SGLT2 inhibitor

Answer

Use prandial insulin as first change

Answer

Start rosiglitazone

Answer

Introduce pioglitazone

Answer

Increase gliclazide to maximum dose

Type 2 diabetes with heart failure — SCE Endocrinology MCQ

A 57-year-old woman with type 2 diabetes has heart failure with reduced ejection fraction and HbA1c 64 mmol/mol. eGFR is 55 ml/min/1.73 m2. She is taking gliclazide but no metformin because of previous intolerance. What is the most appropriate glucose-lowering treatment change?