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If a point of reference A1C is not reached within 3 months of manner participation and metformin, recommendations reckon adding a ordinal spoken or injectable causal agency, specified as hormone, or switching to insulin. 6 For patients approximate to their A1C goals, a shortacting sulfonylurea eg, glipizide is preferable, as it is little probable to origin hypoglycemia than the longeracting agents, particularly in aged patients.
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