A 56-year-old male with a 10-year history of type 2 diabetes…
Questions
A 56-yeаr-оld mаle with а 10-year histоry оf type 2 diabetes mellitus presents for follow-up. His current medications include metformin and a sulfonylurea. His BMI is 32 kg/m², and his hemoglobin A1C is 8.5%. Despite adherence to his current regimen, his blood glucose remains poorly controlled. The patient expresses concern about weight gain and wants to avoid insulin therapy. What is the most appropriate next step in managing his diabetes?