Morning Report

MKSAP
A 72-year-old man comes to the office for a follow-up
evaluation. He has had type 2 diabetes mellitus for
13 years. Over the past 5 years, his hemoglobin A1c value has slowly risen to 9.8%, and his fasting blood
glucose levels at home have frequently exceeded 180
mg/dL (10.0 mmol/L). He has been adherent to
recommended lifestyle changes. The patient is
currently on metformin, 1000 mg twice daily, and
extended-release glipizide, 20 mg/d. He has
hypertension treated with candesartan and
hydrochlorothiazide and hyperlipidemia treated with
atorvastatin.
• Results of physical examination are normal.