A 62-year-old man with a 10-year history of type 2 diabetes and prior myocardial infarction takes metformin at maximal tolerated dose. His eGFR is 65 ...

Question

A 62-year-old man with a 10-year history of type 2 diabetes and prior myocardial infarction takes metformin at maximal tolerated dose. His eGFR is 65 mL/min/1.73 m², HbA1c is 7.9%, and blood pressure and lipids are optimally controlled. According to Diabetes Canada, which additional agent is preferred to improve cardiovascular outcomes?

Accepted Answer

Add an SGLT2 inhibitor with proven cardiovascular benefit

Answer

Add a sulfonylurea

Answer

Add a thiazolidinedione

Answer

Add a DPP-4 inhibitor

Answer

Add basal NPH insulin at bedtime

ca-mccqe1 MCQ (SBA): Type 2 diabetes mellitus with atherosclerotic cardiovascular disease