A 58-year-old with T2DM and prior MI (on metformin) has A1c 7.4%. BP and LDL are controlled. Which glucose-lowering choice is recommended for addition...

Question

A 58-year-old with T2DM and prior MI (on metformin) has A1c 7.4%. BP and LDL are controlled. Which glucose-lowering choice is recommended for additional CV risk reduction?

Accepted Answer

Initiate GLP-1 receptor agonist with CV benefit

Answer

Switch metformin to sulfonylurea

Answer

Add DPP-4 inhibitor

Answer

No change; A1c is acceptable

Answer

Add basal insulin now

us-abfm MCQ (SBA): Type 2 Diabetes with ASCVD

A 58-year-old with T2DM and prior MI (on metformin) has A1c 7.4%. BP and LDL are controlled. Which glucose-lowering choice is recommended for additional CV risk reduction?