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Question of the Week | Best treatment for Diabetes + Heart Disease?

Question of the Week Diabetes Education Services

 

BT has a history of stroke and new diagnosis of diabetes with an A1C of 6.9%.

Which of following treatment strategies is most appropriate for a person with new type 2 diabetes and established cardiovascular disease (CVD)?

 

  1. Start metformin and limit other meds to determine glucose response.
  2. Initiate lifestyle changes plus a statin and re-evaluate A1C in 3 months.
  3. Make sure BT is taking both an ACE and an ARB to reduce CV risk.
  4. Start a GLP-1 RA or SGLT2 with proven cardiovascular benefit.

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