What medication should be added to a 50-year-old male with type 2 diabetes mellitus (DM2) and an elevated hemoglobin A1c (HbA1c) level, currently treated with metformin (2g per day) and empagliflozin (Jardiance, 12.5mg daily), with a body mass index (BMI) of 23.9, and also taking atorvastatin and losartan?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: April 28, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

I recommend adding a GLP-1 receptor agonist such as semaglutide (Ozempic) starting at 0.25 mg subcutaneously once weekly for 4 weeks, then increasing to 0.5 mg weekly, with potential further titration to 1 mg weekly if needed. This patient has inadequately controlled type 2 diabetes with an A1c of 9.0% despite being on metformin and an SGLT-2 inhibitor (Jardiance) 1. GLP-1 receptor agonists are particularly appropriate here as they provide robust A1c reduction (typically 1-2%), promote weight loss (beneficial even though BMI is normal at 23.9), and offer cardiovascular benefits. They work by increasing glucose-dependent insulin secretion, suppressing glucagon release, slowing gastric emptying, and increasing satiety.

Some key points to consider when adding a GLP-1 receptor agonist include:

  • Common side effects include nausea, vomiting, and diarrhea, which typically improve with continued use.
  • The patient should be monitored for gastrointestinal side effects and hypoglycemia, though the risk is low with this combination.
  • If GLP-1 therapy is not tolerated or contraindicated, a DPP-4 inhibitor like sitagliptin or basal insulin therapy would be reasonable alternatives 1.
  • The choice of medication added to metformin is based on the clinical characteristics of the patient and their preferences, including the presence of established ASCVD or indicators of high ASCVD risk, other comorbidities, and risk for specific adverse drug effects 1.

Given the patient's current regimen and the need for further glycemic control, the addition of a GLP-1 receptor agonist is a logical next step, supported by recent guidelines and evidence 1.

From the FDA Drug Label

At Week 24, JARDIANCE 10 mg or 25 mg used in combination with linagliptin 5 mg provided statistically significant improvement in HbA1c (p-value <0.0001) and FPG (p-value <0. 001) compared to the individual components in patients who had been inadequately controlled on metformin.

The patient is already on metformin and Jardiance (empagliflozin), and the current A1c is 9.0, indicating inadequate glycemic control.

  • Next step: Consider adding linagliptin to the patient's current regimen, as the combination of JARDIANCE and linagliptin has been shown to provide statistically significant improvement in HbA1c and FPG compared to the individual components in patients inadequately controlled on metformin 2.

From the Research

Patient Profile

  • 50-year-old male with type 2 diabetes (DM2)
  • Current A1c: 9.0
  • Medications: metformin 2g per day, Jardiance 12.5mg qd, atorvastatin, and losartan
  • BMI: 23.9

Treatment Considerations

  • The patient's current A1c level is above the target range, indicating the need for adjustment to their treatment plan 3
  • Studies have shown that patients with suboptimal glycemic control may benefit from intensification of treatment, including the addition of new medications or adjustment of existing medications 3, 4
  • The patient is already on metformin, which has been shown to improve glycemic control and lipid concentrations in patients with type 2 diabetes 5

Potential Next Steps

  • Consider adding a dipeptidyl peptidase-4 (DPP-4) inhibitor, such as sitagliptin, to the patient's treatment plan, as it has been shown to have beneficial effects on lipid profiles when combined with metformin 6
  • Alternatively, consider adjusting the patient's existing medications or adding a new medication, such as a sulfonylurea or a glucagon-like peptide-1 (GLP-1) receptor agonist, to improve glycemic control
  • Self-monitoring of blood glucose (SMBG) is an essential strategy for improving glycemic control, and patients should be educated on proper technique and frequency of monitoring 7

Related Questions

What's the next step for a 70-year-old male with uncontrolled diabetes (Hyperglycemia), taking metformin (Metformin) 1000mg twice a day and gliclazide (Gliclazide) 25mg daily, with a fasting blood glucose level of Hyperglycemia and an HbA1c of 9%?
What is the best course of action for a patient with uncontrolled diabetes, with a Hemoglobin A1c (HbA1c) level of 8.9%, who is adherent to Metformin (Metformin) 1000 milligrams (mg) orally (PO) twice a day (BID) with meals, but discontinued Jardiance (Empagliflozin) 10 mg PO daily due to increased urinary symptoms and perceived lack of efficacy, with home glucose monitoring results showing hyperglycemia, including fasting levels of 140-160 milligrams per deciliter (mg/dL) and postprandial levels in the 200's, with occasional severe hyperglycemia in the 300's-400's?
What is the treatment for glycemic control in diabetes?
What is the best management approach for a patient with poorly controlled diabetes and significant hyperglycemia?
What are the key components of patient education on glucose control for adults with diabetes?
Will a change in levothyroxine (T4) brand affect Thyroid-Stimulating Hormone (TSH) levels in a patient?
What is the role of Colchicine (colchicine) in the treatment of pericarditis?
What is the diagnosis for a patient presenting with vomiting, who underwent a computed tomography (CT) scan of the abdomen and pelvis without intravenous (IV) contrast, showing prominent fluid-filled small bowel loops and wall thickening of the stomach, with a stable right renal hypodensity, and a history of cholecystectomy (surgical removal of the gallbladder)?
What is the efficacy of Dronabinol (cannabis-based medication) for weight gain?
What is the relationship between Neutrophilic dermatosis and Penicillin (antibiotic)?
What is the treatment for metabolic encephalopathy?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.