Medications:
Hyzaar 50/12.5 mg daily
Norvasc 10 mg daily
Exenatide 10 mcg SC BID
Metformin 500 mg BID
Cyclobenzaprine 10 mg BID
Norco 5/325 mg Q4H PRN (has been using 5-6 times daily because of his foot pain) Tylenol Extra Strength 500 mg PO Q6H PRN (has been using 5-6 times daily because of his foot pain)
Physical Exam/Vitals:
Height: 5'11", Weight: 148.6 kg
BP: 146/89 mmHg, HR: 92 BPM, RR: 16 BPM, Temp: 100.9°F
Pain: 10/10
Labs on 1/10:
Glucose (mg/dL) = 254 (100 - 125)
What is an appropriate recommendation for diabetes management in MG?
A. Add Actos
B. Add glipizide
C. Increase the metformin dose
D. Start Januvia
E. Discontinue metformin