A 51 yr old patient, non-compliant with oral meds. hK/C/O HTN. F : 348, PP 428. I started her on 12 U Insulin 1-0-0, Night time sitagliptin/ metformin hydrochloride 50/1000 0-0-1. F : 278/PP 301.
After 7 days, I increased meds, Insulin 12 U 1-0-0, glyburide MF 0-1-1, sitagliptin/metformin hydrochloride 50/1000 0-0-1. Now Fasting is 140 mg/dl, But she had night time 3:00 am hypoglycaemia, with sweating, relieved by 2 chocolates. She is finally well controlled, but for hypo episodes. Which would be ideal OHA at night for her? She is unwilling for Insulin at night.
