Your obese type 2 diabetes patient, who is 58 years old, has been on metformin, but recent HbA1C levels are around 8.2%, despite attempts at controlling diet and exercise. The patient realizes something must be done and would very much like to maximize A1C reductions with the next option, hoping to achieve levels closer to a goal of 7.0%, if not below that, to avoid having to add multiple further medications. However, the patient hopes to avoid injectable medications if they are not completely necessary. The patient would also like to lose weight.
What medication would you recommend next?
Would your recommendation differ if the patient had a history of atherosclerotic cardiovascular disease?
How would you help this patient stay compliant with your prescribed treatment regimen?
These options will also work well in ASCVD, though a GLP1 analog may be of more benefit in this case. It would come down to how much the patient did not want to inject.
These options will also work well in ASCVD, though a GLP1 analog may be of more benefit in this case. It would come down to how much the patient did not want to inject.
These options will also work well in ASCVD, though a GLP1 analog may be of more benefit in this case. It would come down to how much the patient did not want to inject.
These options will also work well in ASCVD, though a GLP1 analog may be of more benefit in this case. It would come down to how much the patient did not want to inject.
for those with no insurance or high copays i would recommend adding a low dose sulfonylurea such as amaryl 1-2mg daily, and walk !!! if you're committed to exercise you can walk off type 2
If the patient has low co-pays on insurance , i would recommend whatever SGLT-2 that has the lowest copay on his plan be added, helps w/ BP and weight loss too.
And walk !!!!!
for those with no insurance or high copays i would recommend adding a low dose sulfonylurea such as amaryl 1-2mg daily, and walk !!! if you're committed to exercise you can walk off type 2
If the patient has low co-pays on insurance , i would recommend whatever SGLT-2 that has the lowest copay on his plan be added, helps w/ BP and weight loss too.
And walk !!!!!
for those with no insurance or high copays i would recommend adding a low dose sulfonylurea such as amaryl 1-2mg daily, and walk !!! if you're committed to exercise you can walk off type 2
If the patient has low co-pays on insurance , i would recommend whatever SGLT-2 that has the lowest copay on his plan be added, helps w/ BP and weight loss too.
And walk !!!!!
for those with no insurance or high copays i would recommend adding a low dose sulfonylurea such as amaryl 1-2mg daily, and walk !!! if you're committed to exercise you can walk off type 2
If the patient has low co-pays on insurance , i would recommend whatever SGLT-2 that has the lowest copay on his plan be added, helps w/ BP and weight loss too.
And walk !!!!!
Lee Besen
Lee Besen
Lee Besen
Lee Besen