Type 2 Diabetes, on Insulin, Not at Goal: 2 Case Studies

June 29, 2020

Meet 2 type 2 diabetes patients on multiple antihyperglycemics but still not meeting the ADA recommended A1c goal of 7%. What are the next best steps?

The 2 patients with type 2 diabetes in these short cases will be familiar to many primary care physicians - they are both on multiple antihyperglycemic medications and appear to be adherent to their regimens and yet are still above the American Diabetes Association recommended A1c goal of 7%.

Consider the options for next steps with the short history provided by Dr Sudipa Sarkar in mind. What's the next best step?