Question

PT WITH DMT2 ON METFORMIN. A1C IS STILL 9%. WHAT SHOULD U DO?

A) Start basal insulin at 10 units/day
B) Stop metformin and start a sulfonylurea
C) Stop metformin and start a basal and bolus insulin regimen
D) Increase metformin dosage
E) Refer to a nutritionist

Answer 1

To address the issue of the patient's persistently high A1C level of 9% in type 2 diabetes (DMT2) despite being on metformin, the most appropriate option would be to start a basal and bolus insulin regimen.

Step-by-step explanation:

To address the issue of the patient's persistently high A1C level of 9% in type 2 diabetes (DMT2) despite being on metformin, the most appropriate option would be to start a basal and bolus insulin regimen. This involves adding both a long-acting basal insulin to provide background insulin throughout the day and a rapid-acting bolus insulin to cover mealtime spikes in blood sugar.