Question

A 58-year-old man with type 2 diabetes (T2DM) and BMI 33 kg/m² is on metformin 1 g BD. HbA1c is 66 mmol/mol despite adherence. eGFR 72 mL/min/1.73 m², ASCVD present (prior MI). What is the best next step?

Accepted Answer

Add an SGLT2 inhibitor with proven CV benefit

Answer

Add a sulfonylurea

Answer

Add a DPP-4 inhibitor

Answer

Add pioglitazone

Answer

Switch to insulin basal

Practice question

A 58-year-old man with type 2 diabetes (T2DM) and BMI 33 kg/m² is on metformin 1 g BD. HbA1c is 66 mmol/mol despite adherence. eGFR 72 mL/min/1.73 m², ASCVD present (prior MI). What is the best next step?