Case study Your 79 y/o patient is on metformin 500 bid and last A1c was 8.1 They are 5’ 5” with bmi of 34 and can no longer walk even with a walker.

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Presentation transcript:

Case study Your 79 y/o patient is on metformin 500 bid and last A1c was 8.1 They are 5’ 5” with bmi of 34 and can no longer walk even with a walker. What would you recommend for them and why.

Case Study Your 71 y/o patient who still drives and takes care of herself, sees you because her a1c is 7.7 and her BMI is 29. She has slowly lost control of her A1c and is maxed out on metformin. She has excellent insurance and wants to get back to an a1c like her friends. What would you do

Case Study Your 72 y/o patient who recently had to move from her home into an assisted living facility sees you because her a1c has gone from 6.7 to 7.8 and she has gained 19 lbs. She is no longer monitoring her glucose and misses her medications a lot What would you do?

Case Study Your 87 year old patient who has type 2 diabetes for 28 years and has a bmi of 19 has seen their A1c shoot up from 7.6 and to 9.3 in the past 6 months and the patient has lost 45 lbs in the same time. What do you do

Case Study Your 68 patient has been on basal insulin with decent glucose control and an A1c of 6.6, over the past 6 months the A1c has climbed to 7.7. despite increasing the basal insulin. What will you do for this patient.

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