What medication would you increase and why


Problem

You are seeing a 64-year-old Hispanic male for his diabetes management. He reports that his morning capillary blood sugar readings are ranging in the 150 to 190 range. Last month his Hgb A1C was 7.4 He is on Metformin 1000mg twice a day and Glipizide 5mg daily.

What medication would you increase and why?

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