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Primary Care of the Maturing and Aged Family Practicum-Pyron (Test Your Knowledge Week 5)

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Symptoms of hypoglycemia, which can present when blood glucose is < 60 mg/dl. Brain function is impaired when glucose levels < 50 mg/dl . Symptoms can vary but include sweating, tremulousness, dizziness, confusion, anxiety and palpitations. Headaches, fatigue, weakness, drowsiness, syncope, diplopia, blurred vision and personality changes are due to neurological changes. Seizure and coma can occur with severe cases. Dunphy p.935 A newly diagnosed patient with Type 2 diabetes mellitus (DM) is 66 inches in height. The patient's weight is 200 lbs, and the A1c is 7.1%. What is the best initial treatment?