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Question
Mary is a 72-year-old type 2, uncontrolled diabetic. Her a1c is 10%. Mary's medications include Metformin 1 gram BID, Amaryl 4mg BID, and Actos 30mg daily. She was just diagnosed with Class III heart failure.
a. What initial medication change will you make in light of the recent diagnosis of heart failure? Provide your rationale.
b. What medication changes will you make in light of her a1c and current diabetic medications? Provide your rationale.
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