USMLE Step 3 Quiz
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PEDIATRICS
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A 16-year-old boy with type 1 diabetes mellitus for 8 years comes for a routine follow-up. He is on a basal-bolus regimen with insulin glargine and insulin lispro. His HbA1c is 8.8%, up from 8.2% six months ago. He reports checking his blood glucose 2-3 times per day. He admits to frequent postprandial hyperglycemia but is unsure of the cause and finds it difficult to adjust his insulin doses correctly. He is otherwise healthy and active on his high school soccer team.
Which of the following is the most appropriate next step to improve his glycemic management?
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