Question of the Week - January 8th, 2019
ML has type 2 diabetes and has suffered a recent heart attack. ML is already taking the max dose of metformin (Glucophage) and sitagliptin (Januvia), yet ML has an A1c of 8.3%. According to ADA /EASD Hyperglycemia Guidelines, which of the following is a next step?
A Encourage ML to initiate a very low calorie diet.
B Add on a sulfonylurea to get glucose to target.
C Enroll in cardiac rehab to increase insulin sensitivity through visceral fat reduction.
D Consider adding a SGLT2 Inhibitor or GLP-1 RA.
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