
LR experienced gestational diabetes with their third pregnancy and now, at age 41, was just diagnosed with prediabetes. LR’s BMI is 29.3 and she is trying to lose weight.
Based on the 2023 ADA Standards of Care, in addition to providing LR with lifestyle coaching, what other intervention is recommended?
- Start a GLP-1 RA Inhibitor to support weight loss.
- Initiate metformin therapy.
- Start pioglitazone (Actos) at a low dose
- Suggest adding a SGLT-2i to lower glucose and protect renal function.
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