[Solved]: A 55 years old man with a 2 years history of type 2…

A 55 years old man with a 2 years history of type 2 diabetes, heart failure and 7 years history of hypertension. The last HbA1c reading (3 months ago) was 8.2% and the current one is 8.8%. The patient is on Metformin 500 mg 2×2, Metoprolol 50 mg 2×2, Enalapril 5 mg daily, Hydrochlorothiazide 12.5 mg daily. Medication adherence was confirmed. Your Pharmacotherapy recommendation to control blood glucose for this patient is: a. Add basal Insulin b. Keep on the same drug therapy and intensify lifestyle modifications W Oc. Add Sitagliptin 100 mg daily d. Add basal and bolus insulin concurrently e. Increase Metformin dose