A patient with diabetes, hypertension and dyslipidemia has been using metformin 1000 mg BID for 5 months. Her A1C is currently 8.2%. Which of the following
options is most appropriate?
A. Increase the metformin.
B. Add on pioglitazone.
C. Stop the metformin and begin Januvia therapy.
D. Add on Humalog, 10 u QHS.
E. Add on Apidra, 10 u QHS.