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Exam questionKROK 2Medicine ยท 2023

A 38-year-old pregnant woman, gravid a 2, gestation term of 23-24 weeks, has type 2 diabetes mellitus, for which she receives metformin in the dose of 2500 mg per 24 hours. Laboratory analysis detects glycated hemoglobin (HbA1c) levels of 72 %. What further treatment strategy should be chosen for this patient?

Answer options

  1. Discontinue metformin and switch to sulfonylureas
  2. Increase the dose of metformin to 3000 mg per 24 hours
  3. Add GLP-1 analogues to metformin
  4. Continue the treatment unchanged
  5. Prescribe insulin therapy and discontinue metformin
Correct answer

Prescribe insulin therapy and discontinue metformin

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