A 55-year-old woman with type 2 diabetes mellitus is on metformin 1000 mg twice daily. Her last A1c was 8.2%. She has a BMI of 32 kg/m² and a history of stable coronary artery disease. Which medication would be the most appropriate addition to her current regimen?
✓ Correct Answer: Option C
Given her A1c > 7%, a second agent is needed. Empagliflozin (an SGLT2 inhibitor) is preferred here due to its proven cardiovascular benefits in patients with established cardiovascular disease, in addition to its glucose-lowering and weight-loss effects.
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This 2-level USMLE Exam Prep question from the Step 2 CK – Clinical Knowledge topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.
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