Problem about male who is diabetic and takes metformin


Problem: A 65-year-old male who weighs 176 lb. is diabetic and takes metformin 1000mg bid, glimepiride 4mg bid, dulaglutide 1.5mg weekly and Jardiance 25mg qd. His recent A1C returned 8.0%. He returns to the office after starting basal insulin. He reports that his morning fasting blood sugar has been running in 140's to 150's. What would you recommend? Need Online Tutoring? Increase by 4 units every day to reach FBG goal Increase by 4 units twice a week to reach FBG goal Continue the same dose for now Decrease by 2 units twice a week

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