A 55-year-old woman with Type 2 diabetes complains of frequent episodes of low blood sugar. She takes metformin and glipizide. What steps should be taken?
This patient may be experiencing hypoglycemia due to her diabetes medications. The first step should be to review her symptoms in detail and check blood glucose levels during symptomatic episodes if possible, to confirm that these episodes are indeed hypoglycemia. Her medication regimen should be reviewed, as glipizide, a sulfonylurea, can cause hypoglycemia. It may be necessary to adjust the dose of her medications or consider alternative medications.