Question

A 60-year-old with type 2 diabetes and prior MI has A1c 7.8% on metformin. eGFR 80 mL/min/1.73 m². Which additional glucose-lowering agent provides cardiovascular benefit?

Accepted Answer

Start a GLP-1 receptor agonist with proven CV benefit

Answer

Add a DPP-4 inhibitor

Answer

Start basal insulin

Answer

Add sulfonylurea

Answer

Switch to thiazolidinedione

Practice question

A 60-year-old with type 2 diabetes and prior MI has A1c 7.8% on metformin. eGFR 80 mL/min/1.73 m². Which additional glucose-lowering agent provides cardiovascular benefit?