Question 8

Your patient has type 2 diabetes and was stented 2 years ago. Medications are metformin ER 500 mg twice daily with meals, glimepiride 4 mg daily, atorvastatin 80 mg daily, sitagliptin 100 mg daily, aspirin 81 mg daily, lisinopril 40 mg daily, clopidogrel 75 mg daily. She was to start on basal insulin at 10 units but failed to do so. Over the last 2 months, she has been checking and documenting her fasting capillary glucose about 3 times a week: