-Long-tern use of metformin may be associated with biochemical vitamin B12 deficiency, and
periodic measurement of vitamine B12 levels should be considered in metformin-treated patients,
especially in those with anemia or peripheral neuopathy B
-In patients with long-atandind suboptimally controlled type 2 diabetes and established atherosclerotic cardiovascular disease, empaglifllozin or liraglutide should be consided as they have been shown to reduce cardiovascular and all-cause mortality when added to standard care. Ongoind studies are investigating the cardiovascular benefits of other agents in those drug classes. B
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diabetes Care 2017:40(Supple.1): S64-S74