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Old 10-17-2011
drnrpatel's Avatar
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Default Endocrine

A 55-year-old woman with a long history of diabetes mellitus type 2 returns to the clinic for a follow-up appointment. She was recently started on a new diabetes regimen after her last hemoglobin A1C was found to be over 10%. Today she is complaining of shortness of breath, worse when she lies down, as well as swelling in her legs. Her diabetes has been poorly controlled over the years, due partly to the severity of her disease and partly to her poor medical compliance. In addition to her diabetes, she is followed in clinic for poorly compensated congestive heart failure, hypertension, and reflux disease. Examination reveals a third heart sound, wet-sounding crackles in both lung bases, and 3+ pitting edema bilaterally. Which of the following diabetes medications was most likely added to her regimen that is responsible for these findings?






Insulin glargine




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Old 10-18-2011
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ans E. rosiglitazone. fluid retention...
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