A few weeks after an 82-yr-old patient 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 should the nurse promptly 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 A1C may be higher in order to avoid complications associated with hypoglycemia. The nurse will plan on scheduling the patient for an eye examination and addressing the questions about diet,but the area for prompt intervention is the patient's decreased renal function.

A Few Weeks After an 82-Yr-Old Patient with a New