You have just given 55-year-old Sam Smith the news that he has type 2 diabetes. Mr. Smith has no history of cardiovascular disease or other comorbidities.
His HbA1c is 9.1; his BMI is 35; triglyceride level, 220 mg/dL; HDL 37 mg/dL; blood pressure, 150/94 mm Hg. His renal function is normal.
In addition to lifestyle changes how would you treat this patient? What is your goal for HbA1c?
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