Question

A 47-year-old with catabolic symptoms and fasting glucose 336 mg/dL, A1c 11.2% is on metformin. According to ADA Standards, what is the next step?

Accepted Answer

Start basal insulin, considering basal-bolus if symptomatic

Answer

Add a DPP-4 inhibitor

Answer

Add a sulfonylurea only

Answer

Add GLP-1 RA alone

Answer

Observe for 3 months then recheck A1c

Practice question

A 47-year-old with catabolic symptoms and fasting glucose 336 mg/dL, A1c 11.2% is on metformin. According to ADA Standards, what is the next step?