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4yr

I would stop sulfonylurea due to risk of hypoglycemia and DPP IV. I would continue metformin and add a GLP 1 to help with weight loss and cardiovascular protection.

  • 4yr
    I would discontinue the Sulfonylurea and DPP4 since she is not achieving the goal, I would recommend putting her on SGLT2 Inhibitor which has proven benefits on the kidney, CHF, BP reduction as well as improved A1C and weight loss

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