Ms. Jones is a 63-year-old woman with a ten-year history of T2DM. She recently experienced an episode of hypoglycemia, which has made her hesitant to restart her basal insulin regimen.
PMH – T2DM, HTN, Hyperlipidemia, Depression, anxiety
Medications: Metformin 1000 mg bid, Glipizide 5 mg daily, Empagliflozin 10 mg daily, Dulaglutide 1.5 mg weekly, Insulin Glargine 24 u daily (stopped taking), Lisinopril 10 mg daily, atorvastatin 20 mg daily, and Zoloft 50 mg daily
PE: Gen: Alert, interactive
BP – 136/78, P-78
Lungs – clear CV -RRR without murmurs
Feet – good sensation and pulses
Labs: A1c 7.4, Cr 1.2 UaCr - 20