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The lecture Basal-bolus Insulin Therapy with Case by Michael Lazarus, MD is from the course Diabetes Mellitus. It contains the following chapters:
How should insulin be initiated in a patient with type 2 diabetes?
What is the optimal therapy for the patient described below? A 42-year-old man presents to his primary care physician for preventative care. He does not have any current complaints. His father died of diabetic nephropathy. Physical examination results: Temperature of 36.7°C (98.06°F), blood pressure of 150/95 mm Hg, and a pulse of 90 beats /min. Laboratory test results: Fasting blood glucose level of 159 mg/dL (on 2 occasions) and HbA1c level of 8.1%. The patient is started on metformin and lifestyle modifications. Three months later, he presents for a follow-up visit. Laboratory test results: Blood glucose is 370 mg/dL, and HbA1C is 11%. The patient currently complains of weight loss and excessive urination.
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