A 58-year-old man with type 2 diabetes presents with retinal hemorrhages and …

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A 58-year-old man with type 2 diabetes presents with retinal hemorrhages and cotton wool spots on funduscopy. Which is the next best step?

• A.begin insulin only
• B.start chemotherapy
• C.optimize glycemic control and refer to ophthalmology for laser/anti-VEGF if indicated
• D.start aspirin