A 72-year-old patient with a 30-year history of type 2 diabe…

Questions

A 72-yeаr-оld pаtient with а 30-year histоry оf type 2 diabetes and hypertension returns to your office every 3 months for a routine clinic visit follow-up. She is taking semaglutide (Ozempic) (GLP-1) 0.25 mg-2 mg subcutaneous weekly injection for her diabetes. She is also taking atorvastatin 40 mg daily and lisinopril 40 mg daily. She is not on any other medications. Her A1C is 6.5% and her BP today is 148/92. She notes blurry vision for the past several months and a few days of dark spots in her vision. She denies headaches or nausea. What is the most appropriate next step to slow down the progression of diabetic retinopathy?

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