RL was newly diagnosed 43 with type 2 diabetes 6 months ago with an initial A1C of 10.1%. They have no cardiovascular disease and their renal function is within normal limits.  At a recent office visit, you notice RL’s A1C has dropped to 7.3,  their BP is 112/78 and the LDL cholesterol is 103mg/dL. RL’s current medication regimen includes, rosuvastatin 10mg, empagliflozin 25mg, metformin 1000 BID, glargine 12 units and aspirin 81mg.

Based on this information, what changes to RL’s medication plan do you recommend to the provider?

1. Consider increasing rosuvastatin and stopping ASA therapy.
2. Consider stopping empagliflozin and starting GLP-1 RA to help with weight loss.
3. Consider adding an ACE or ARB and increasing basal insulin.
4. Consider increasing metformin and decreasing basal insulin.

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