0 year old male diagnosed with T2DM 8 years ago. At diagnosis: A1C = 13.3%, Wt = 310 lbs, Ht = 6’0″ BM

0 year old male diagnosed with T2DM 8 years ago. At diagnosis: A1C = 13.3%, Wt = 310 lbs, Ht = 6’0″ BMI = 42 Current regimen: Max dose metformin & glipizide Recent labs: A1C: 11.5%; FBG: averages 260 mg/dL What basal insulin and dose should be initiated? 60 year old male diagnosed with T2DM 8 years ago. At diagnosis: A1C = 13.3%, Wt = 310 lbs, Ht = 6’0″ BMI = 42 Current regimen: Max dose metformin & glipizide Recent labs: A1C: 11.5%; FBG: averages 260 mg/dL What basal insulin and dose should be initiated? 0.1 units/kg, since obese and > 9% A1C; 5 units of aspart 0.2 units/kg, since obese and > 9% A1C; 48 units NPH BID 0.4 units/kg, since obese and > 9% A1C; 56 units of glargine or detemir QHS

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