A 61-year-old woman with type 2 diabetes has an A1c of 8.4% despite metformin. She has established coronary artery disease and an estimated GFR of 72

Question

A 61-year-old woman with type 2 diabetes has an A1c of 8.4% despite metformin. She has established coronary artery disease and an estimated GFR of 72 mL/min/1.73 m². Which of the following is the most appropriate next step?

Accepted Answer

Add a GLP-1 receptor agonist with cardiovascular benefit

Answer

Start levothyroxine

Answer

Stop metformin and start insulin

Answer

Add pioglitazone as preferred therapy

Answer

Add glyburide

Type 2 diabetes with ASCVD — ABFM Board MCQ

A 61-year-old woman with type 2 diabetes has an A1c of 8.4% despite metformin. She has established coronary artery disease and an estimated GFR of 72 mL/min/1.73 m². Which of the following is the most appropriate next step?