HD is a 56 year old female who has been taking metformin (Glucophage*) 1000mg BID for 2 years for a “prediabetic state”.  She has a history of pancreatitis and family history of medullary thyroid carcinoma.  Despite this therapy, at her last clinic visit her fasting BS is found to be 189 mg/dl and her HgbA1C is found to be 9.2% and asymptomatic.  Considering the patient is unwilling to use insulin (or other injectable medications) and her other risk factors, what would be the best change to make to her medication therapy?

this type of vessel does not place it’s own anchors out, but must have another vessel place them.

The most common use for sonar is to provide a snapshot of what the sea-floor looks like in a radial length away from the sonar.

This type of vessel uses anchors to hold position and is used for drilling wells offshore.

The general concept of GPS is that satellites 12,000 miles in orbit send signals that are measured by a receiver to give a range (distance) to each satellite thereby triangulating a position.

When calculating offsets, the method used to calculate them is______________

The way that surveyors attain positioning offshore is generally from

The term used to describe a competent patient’s agreement to have a surgical procedure after the physician explains the procedure, the desired outcome, possible complications, and possible alternative treatment is

A legal document that describes the kind of medical treatments or life-sustaining treatments a person would want if seriously or terminally ill is called:

The amount an insured person must pay at the time of an office visit, when picking up a prescription, or before a hospital service is known as the