Test Your Knowledge on Diabetes: Therapeutics
In this “Test Your Knowledge” series, Edward Shahady, MD, asks you about changing the treatment regimen for a middle-aged woman who does not adhere to her therapy.
Your patient is a 45-year-old woman with early diabetes of 24 months’ duration. Her hemoglobin A1c level started at 7.7%, her low-density lipoprotein cholesterol level was 145 mg/dL, and her body mass index was 35 kg/m2.
Treatment with lifestyle changes and metformin produced no changes in her weight or laboratory values, because she does not adhere to the treatment regimen. She has a family history of type 2 diabetes in her mother, who died at age 55 from a myocardial infarction.
You and your staff tend to become somewhat impatient with her, and some even blame her for her inability to change.
How would you change her treatment regimen? Select all that apply.