Given the number of new agents that have been added to the diabetes armamentarium, it is important for clinicians to know what treatment options are available for the management of type 2 diabetes.

Mr. R is a 54-year old man who is being seen for follow-up after his recent lab work revealed an A1C of 8.6% and fasting plasma glucose of 205mg/dL.

Given his lab results and lifestyle preferences, can you determine the right treatment plan for him?