Discuss medication management

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Question

An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's request to discuss medication management. Current medications include metformin (Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal = less than 7.0%], fasting blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL]. Which of the following regimens should the nurse practitioner recommend?

Basal and rapid-acting insulin Basal insulin only, continuing oral medications Rapid-acting insulin only, continuing oral medications Switching to glargine (Lantus).

Reference no: EM134024856

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