Interactive diabetes case 13: Deterioration of glycemia in a 59-year-old patient with type 2 diabetes complicated by retinopathy, nephropathy, and neuropathy – A4

ANSWER — Incorrect.

The glucose values demonstrate in more detail an erratic pattern, with periods of hyperglycemia alternating with periods of hypoglycemia.

Metformin is contraindicated in the setting of severe kidney dysfunction, ie, an estimated glomerular filtration rate (eGFR) of <30 mL/min/1.73 m². (See "Metformin in the treatment of adults with type 2 diabetes mellitus".)

Return to the beginning to try again. (See "Interactive diabetes case 13: Deterioration of glycemia in a 59-year-old patient with type 2 diabetes complicated by retinopathy, nephropathy, and neuropathy".)