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Question of the Week | Give me a Chance to Drop A1C

AR’s has an A1C of 7.5% and is taking empagliflozin (Jardiance) 10mg daily, plus trying to eat healthy and ride their bike 4-5 days a week for 30 minutes.  The provider suggests increasing the empagliflozin dose to 25mg to get the A1C below 7%.  AR says that they don’t want to increase their medication dose and says they are dedicated to lowering their A1C through more activity. 

Based on this scenario, what ADA recommended activity addition or change would help AR reach their A1C target?

 

  1. Consistently decrease portion size and increase vegetable intake.
  2. Ask AR if they can increase bike riding to daily.
  3. Explore addition of twice weekly strength training.
  4. Encourage AR to reconsider increasing empagliflozin dose.

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