Started on metformin and lifestyle modifications

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A 57-year-old man presents for a follow-up of his diabetes. He was diagnosed with type 2 diabetes about six months ago and was started on metformin and lifestyle modifications. Metformin has been titrated up to the highest recommended dose. He is uninsured and cannot afford expensive medications. The patient does not have any current complaints except for occasional numbness in both hands and feet. His HbA1c is 8.5% and serum glucose is 240 mg/dL. What is the best next step in this patient's condition?

Reference no: EM133769260

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