A 70-year-old lady with a history of ‘difficult to treat’ type II diabetes | Medibuddy
15th July 2024

A 70-year-old lady with a history of ‘difficult to treat’ type II diabetes

A 70-year-old lady with a history of ‘difficult to treat’ type II diabetes (HbA1C 82 mmol/mol) presents to her general practitioner with an AKI following a few-days history of viral illness.  She is also being treated for hypertension. Investigations are as follows:

serum sodium 137 mmol/L (137-144)
serum potassium 4.4 mmol/L (3.7-4.4)
serum urea 11.9 mmol/L (2.5-7.0)
serum creatinine 159 micromol/l (60-110)

Of the following medications that she takes, which one does not need its dose reduced in this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.

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