Based on published evidence of positive cardiovascular (CV) outcome trials in type 2 diabetes (T2D), the updated NICE NG28 guideline for T2D now recommends that CV risk should be integral to T2D management, determining the choice of glycaemic treatment.1 The primary focus of T2D care was previously about achieving optimal glycaemic control. CV risk was managed separately in parallel through blood pressure, lipid and lifestyle modification.2