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Question of the Week | Based on ADA Standards, what is next med addition?

Question of the Week Diabetes Education Services

JR has type 2 diabetes and takes Metformin 1000mg BID and sitagliptin (Januvia), A1C 8.1%. GFR 47, UACR 158mg/g. Recent diagnosis of congestive heart failure. These are the medications their insurance covers.

Of the following medications, which addition would most benefit JR?

  1. glipizide (Glucotrol)
  2. pioglitazone (Actos)
  3. semaglutide (Ozempic)
  4. dapagliflozin (Farxiga)

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