B.R. returns to clinic several months for follow-up on his d…
B.R. returns to clinic several months for follow-up on his diabetes. (His epigastric symptoms have resolved with your previous therapy.) His home blood glucoses the past 3 months have been running 200 – 250. He states he has been taking his metformin and had not missed any doses. Also states that his diet has not changed. He walks for exercise for 20 – 30 minutes 3 – 4 times per week. Continues on the same routine medications. VS: BP 124/78; P 70; Wt. 164 lb; Ht. 5’10” Physical exam: Normal except for decreased sensation – both feet. Labs today: Chem profile – Electrolytes within normal limits; Serum Cr – 1 mg/dl; BUN — 10 mg/dl; glucose of 220 (random); HbgA1c – 9.4 13. What best describes his drug problem today?
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