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Management of an Adult With Type 2 Diabetes With Antidiabetic Medications: A Case Scenario

Slide: 18 of 26

Patient Followup: Unsuccessful Glycemic Control

After four weeks, he reports no symptoms of gastrointestinal upset, but his fasting blood glucose levels (monitored at home) are not satisfactory, so you ask him to increase the dose of metformin to 1000 mg twice daily.  Three months later, at his next office visit, his HbA1c level is 7.4%. The patient states he has been compliant with the diet, exercise and drug prescriptions, and has lost 6 pounds of body weight.