MRCP2-1400

MRCP2-1400

A 55-year-old obese man presented to the emergency department with central chest pain, sweating, shortness of breath, and pallor. He was diagnosed with a STEMI and underwent primary PCI. An ECHO revealed an EF of 35% after the event. Further investigation for his coronary artery disease led to a diagnosis of type 2 diabetes. He was given iv insulin, which controlled his blood glucose temporarily.

Lab Results:

– Creatinine: 122 umol/L
– Urea: 8.2mmol/l
– Na+: 140 mmol/l
– K+: 3.6 mmol/l
– eGFR: 62 ml/min
– HbA1C: 9.4%
– HCO3: 22
– Aspartate transaminase: 52 U/L
– Alkaline phosphatase: 110 U/L
– Gamma-glutamyl transferase: 39 U/L

Which hypoglycemic agent should be avoided in the long-term treatment of his diabetes?