A fifty-eight-year-old woman has had type 2 diabetes for ten…
A fifty-eight-year-old woman has had type 2 diabetes for ten years. She takes the maximum tolerated dose of metformin, and her most recent glycosylated hemoglobin is 8.4 percent. She has obesity, no known cardiovascular or kidney disease, and works full-time. She tells you, “I really want to lose weight, and I am terrified of low blood sugar because I live alone.” Which additional medication is the best next choice to discuss based on her goals and current guidelines?