How to Answer Peer Response With Questions (Complete Guide)

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Original Question

peer response with references: Uncontrolled Type II Diabetes Mellitus Treatment The patient in our case study this week for the discussion post 3 is eating between 75 and 100 grams of daily carbohydrates, which constitutes a low-carbohydrate diet beneficial for patients with T2DM (Wheatley et al., 2021). The patient is also exercising daily and does not have a body mass index in the overweight or obese categories. The patient could try increasing physical activity for overall health benefits, with a slight impact on his glycemic index. However, because this patient is already taking two different classes of anti-diabetic medication, Metformin and glipizide, and he has an HbA1c of 7.8, morning blood glucose levels ranging between 150 and 190, another class of anti-diabetic medication is warranted to maintain his blood glucose levels. An optimal T2DM HbA1c is less than 7.8 percent and should be 7.0 or less (Akil et al., 2021). Adding a daily dose of a Dipeptidyl Peptidase-4 (DPP-4) Inhibitor, such as Januvia (sitagliptin), should bring his daily blood sugars into better control. Januvia has been shown to be safe and effective as an adjunct pharmacotherapy for patients close to their HbA1c goals (McKeirnan et al., 2024). Prescriptions Metformin1000 mg PO BID Glipizide 5 mg PO QD Januvia (sitagliptin)

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