52 year old female diagnosed with T2DM 6 years ago. At diagnosis: A1C = 10.1%, Wt = 180 lbs, Ht = 5’5″ BMI = 30 Current regimen:

52 year old female diagnosed with T2DM 6 years ago. At diagnosis: A1C = 10.1%, Wt = 180 lbs, Ht = 5’5″ BMI = 30 Current regimen: Max dose metformin & glipizide Recent labs: A1C: 8.8%; FBG: average of 210 mg/dL What basal insulin and dose should be initiated? 52 year old female diagnosed with T2DM 6 years ago. At diagnosis: A1C = 10.1%, Wt = 180 lbs, Ht = 5’5″ BMI = 30 Current regimen: Max dose metformin & glipizide Recent labs: A1C: 8.8%; FBG: average of 210 mg/dL What basal insulin and dose should be initiated? 0.4-0.5 units/kg since < 9% A1C; 6 to 12 units; 3 units NPH BID, or 14 units of glargine/detemir QHS 0.3-0.4 units/kg since < 9% A1C; 16 to 32 units; 8 units NPH BID, or 10 units of glargine/detemir QHS 0.1-0.2 units/kg since < 9% A1C; 8 to 16 units; 4 units NPH BID, or 8 units of glargine/detemir QHS

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