HD is a 56 year old female who has been taking metformin… HD is a 56
HD is a 56 year old female who has been taking metformin… HD is a 56 year old female who has been taking metformin (Glucophage) 100omg BID for 2 years for a “prediabetic state.” She has a history of pancreatitis and family history of medullary thyroid carcinoma. Despite this therapy, at her last clinic visit her fasting BS is found to be 189mg/dl and her HgbA1C is found to be 9.2% and asymptomatic. Considering the patient is unwilling to use insulin and her other risk factors, what would be the best change to make to her medication therapy? Stop metformin and start acarbose (Precose) 25mg TID with mealsContinue metformin and add glipizide (Glucotrol XL) 5 mg once dailyStop metformin and start sitagliptin (Januvia) 50mg daily.Continue metformin and add exenatide (Byetta) mcg SQ BID with 1 hour of AM and PM meal. Health Science Science Nursing NSG 5000 Share EmailCopy link Comments (0)
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