LR is 29 years old, has newly discovered diabetes and polycystic ovary syndrome (PCOS) and is trying to get pregnant. In addition to treating the diabetes and PCOS, LR would like to lose weight. LR was referred to the RD/RDN and encouraged to increase activity level. To treat PCOS and diabetes, LR was started on metformin ER 500mg BID. After a month of treatment, LR’s A1C was still above 8%.
According to ADA Standards, besides increasing the metformin dose, what additional therapy could be added to get LR’s glucose to goal?
- GLP-1 Receptor Agonist
- SGLT-2 Inhibitor
- Either A or B
- None of the above
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