Keith is a 42 year old WM, 270 lb, 70” and a 5 year history of type 2 diabetes....
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Current regimen consists of metformin 1000mg BID and glipizide ER 10mg Qday. Patient reports good adherence and denies any episodes of hypoglycemia. Patient has gained 20 pounds since glipizide was initiated 2 years ago. Current A1c 8.5%, FPG 110 mg/dL and PPG 240 mg/dL.
Question 2: Which of the following is a good choice for an additional antihypoglycemic according to the American Association of Clinical Endocrinologists/American College of Endocrinology (AACE/ACE) consensus algorithm in this patient?
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