How often should brian have his hemoglobin a1cs drawn

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Problem

After being diagnosed with diabetic ketoacidosis with an A1C of 9.6 two months ago, Brian was initially on Lispro 0.15 unit/kg (12 units). At his endocrinology follow-up a week later, he was started on Trulicity in addition to the Lispro. At his one month follow-up, his A1C was 8.5 with expectations to be under 7 in the next 4-8 weeks. Metformin was added to his treatment with the plan to titrate off Lispro over 2 weeks. His last follow-up labs reflected an A1C of 6.5 and negative diabetic antibodies from 2 weeks ago - he was not taking any medications at the time of his follow-up. His endocrinologist advised that the Trulicity was still recommended to maintain a euglycemia and provided him the diagnosis of type 2 diabetes given the negative antibodies. He reports his blood sugars have routinely been in the 90-100 range with the highest at 104 and the lowest at 79. Going forward, how often should Brian have his hemoglobin A1Cs drawn?

Reference no: EM133746366

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