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A 45-Year-Old Obese Female Patient with Type 2 Diabetes Mellitus

Question 10

Multiple Choice

A 45-year-old obese female patient with type 2 diabetes mellitus for 10 years has had a recent severe exacerbation in her asthma and has been put on a daily dose of prednisone 10 mg. She takes 1,000 mg twice a day of metformin and glimepiride 6 mg daily. Her fasting BG average has increased by 70mg/dl. Her previous fasting blood glucose average was 120 and is now 190 mg/dl. The most appropriate action would be:


A) Stop the prednisone
B) Increase her metformin by 1,000 mg
C) Initiate insulin therapy
D) Recheck her HbA1c at her follow-up visit in 3 months

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