A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage)therapy and taught about appropriate diet and exercise,the home health nurse makes a visit.Which finding by the nurse is most important to discuss with the health care provider?

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The decrease in renal function may indicate a need to adjust the dose of metformin or change to a different medication.In older patients,the goal for A?C may be higher in order to avoid complications associated with hypoglycemia.The nurse will plan on scheduling the patient for an eye exam and addressing the questions about diet,but the biggest concern is the patient's decreased renal function.

A Few Weeks After an 82-Year-Old with a New Diagnosis