LS is 43 with type 2 diabetes, with an A1C of 8.8%, UACR is 32 mg/g, GFR is 48, and blood pressure is 146/84 or greater on 2 different occasions. Current medications include metformin 1000mg BID, lovastatin 20mg, glipizide 20mg.
Based on the ADA standards of care, in addition to lifestyle encouragement, adding which medications would most improve outcomes?
- GLP-1 RA and low dose aspirin
- ACE and ARB for blood pressure management
- Basal insulin and a diuretic
- SGLT-2 and ACE or ARB
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