Choose the correct answer: A 60-year-old adult with a 15-yea…
Choose the correct answer: A 60-year-old adult with a 15-year history of type 2 diabetes and co-existing coronary artery disease presents to the primary care nurse practitioner for diabetes follow-up. The patient reports fatigue and has noted urinary frequency. The patient is intermittently monitoring glucose. Current medications include: metformin (Glucophage) 1000mg bid dapagliflozin (Farxiga) 10 mg po daily semaglutide (Rybelsus) 7 mg po daily The patient has no known allergies. The following labs were obtained last week. Chemistry: Glucose 330 mg/dL Sodium 138 mEq/L Potassium 4.7 mEq/L BUN 27 mg/dL Creatinine 1.4 mg/dL A1c 9.7% What, if any, adjustments to the clinical management are indicated at this time?