Where I am from we don't usually give a basal bolus regimen, just 70/30 in morning and
evening. She also has history of IHD one year back.
Recently, her renal function
tests revealed a creatinine of 2.0 (178micromole/L). Her GFR according to MDRD equation is less than 30. This clearly means metformin should be stopped.
However, when I stopped her metformin, she developed high blood glucose (9.7 fasting), so now I am not sure what to do?