Question

A 60-year-old with T2DM (A1c 8.6%) and established ASCVD is on metformin, statin, ACE inhibitor. What antihyperglycemic class should be added to reduce CV events?

Accepted Answer

SGLT2 inhibitor or GLP-1 RA with proven benefit

Answer

Sulfonylurea

Answer

Thiazolidinedione first

Answer

Basal insulin as first add-on

Answer

No change; A1c target is >8.5% for all

Practice question

A 60-year-old with T2DM (A1c 8.6%) and established ASCVD is on metformin, statin, ACE inhibitor. What antihyperglycemic class should be added to reduce CV events?