A 46-year-old gentleman with type 2 diabetes for the last 5 years presented with the following lab reports. FBS: 156mg/dl and PPBS: 240mg/dl, Hba1c: 9.2 %.
He is currently on a combination of Vildagliptin and Metformin (50/500) twice a day along with basal insulin Glargine (10 units at bedtime). He has uncontrolled blood glucose as seen by his HbA1C reports Day Before breakfast 2hrs after breakfast Before lunch 2 hrs after lunch Before dinner 2hrs after dinner Day 1 64 210 Day 2 130 239 Day 3 180 340 Day 4 Day 5 160 196 Day 6 140 205 Day 7 170 261 The above SMBG shows uncontrolled values with however one blood glucose values in the early morning fasting period is low (64mg/dl) As this patient had a high HbA1C with a variable fasting glucose, he was advised flash continuous glucose monitoring (F-CGM) The flash glucose monitoring…
