65-year-old man comes to the physician complaining of decreased appetite

65-year-old man comes to the physician complaining of decreased appetite, nausea, abdominal bloating, and

early satiety for the past several months. He has no heartburn or epigastric pain but does have occasional

vomiting. The patient has longstanding type 2 diabetes mellitus complicated by nonproliferative retinopathy and

has taken insulin for the last 15 years. His blood glucose readings using the home monitor are 40-400 mg/dL.

Most of the low blood glucose readings occur after meals. Which of the following would be most helpful in treating

this patient’s condition?

  • 0 A. Diphenhydramine
  • O B. Helicobacter pylori eradication therapy
  • 0 C. Lansoprazole
  • 0 D. Megestrol acetate
  • 0 E. Metoclopramide
  • 0 F. Ondansetron
  • 0 G. Promethazine
  • 0 H. Ranitidine

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