Home blood sugar monitoring log indicates fasting

Reference no: EM133696260

Question

A 50 year old female presents for a follow-up appointment for type 2 diabetes. The patient has lost 5 pounds since her last visit and is exercising 3-5 times/week. Her home blood sugar monitoring log indicates fasting blood sugars ranging from 160 to 220 mg/dL. The only medication she currently takes is lisinopril (Zesteril) 20 mg/day for hypertension. Today she denies any complaints and her physical exam is normal. Vital signs are: BMI 28; BP 124/78; HR 72 and regular. Hemoglobin A1C is 7.4%. eGFR is 80. Which of the following treatment plans should you initiate for this patient at today's office visit. CHANGE CORRECT ANSWER Group of answer choices Start the patient on a sliding scale insulin before meals and instruct her on carbohydrate counting and recording glucose and insulin in a daily log Initiate treatment with glipizide (Glucotrol) 10 mg 1 pill daily and metformin (Glucophage) 500 mg 1 pill twice daily and have the patient follow-up in 1 month Review the laboratory results with the patient, instruct the patient to increase her exercise and reduce her caloric intake, and have the patient follow-up in 3 months Reinforce continued lifestyle modification and initiate metformin (Glucophage) 500 mg 1

Reference no: EM133696260

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