Select the correct answer: A 61-year-old adult with a 9-year…
Select the correct answer: A 61-year-old adult with a 9-year history of type 2 diabetes and hyperlipidemia presents for diabetes follow-up. Most recent eye exam was 4 months ago and was normal. The patient is allergic to sulfa. Prescribed medications: metformin (Glucophage) 500 mg bid dapagliflozin (Farxiga) 10 mg daily simvastatin (Zocor) 20 mg daily Labs: The patient’s A1c in clinic is 8.3%. No logs are brought to the clinic appointment, but the patient reports fasting glucoses of 160-175 mg/dL. Vitals: B/P 128/83; pulse 75; respiration 16; weight 202 height 68 inches BMI 30.7. Physical exam is unremarkable. The primary care nurse practitioner refers the patient to diabetes self-management. What additional interventions should be incorporated into the clinical management plan at this time?