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https://en.m.wikipedia.org/wiki/Diabetes

s/p PCI 9 months ago, and recently diagnosed

diabetes mellitus with A1c of 8%. She is a current

smoker. Medications include lisinopril, aspirin, and

clopidogrel. Family history includes T2DM in her

father and paternal uncle. BMI is 35 kg/m2

. What medication would you start

initially?

A) Metformin

B) GLP-1RA

C) Sulfonylurea

D) DPP-4i

past 4 years, previously controlled with metformin

monotherapy. Most recently his HbA1c increased

from 7% to 8.2%. His PMH includes hypertension.

BMI is 42 kg/m2 . Medications also include

atorvastatin and lisinopril. He does not have

albuminuria.

Case 2

What agent would you add?

A) Glipizide

B) GLP-1RA

C) Pioglitazone

D) Basal insulin

of 8% with no comorbidities, he takes no

medications. BMI is 35 kg/m2

Case 3

What medication(s) would you initiate?

A) Metformin

B) Sulfonylurea

C) DPP-4i

D) Combination therapy (metformin+DPP-4i)