RL is 83, has Latent Autoimmune Diabetes, and takes degludec 17 units every morning along with metformin 500 XR twice daily. RL tells you that their left leg was suddenly swollen and red, so they went to urgent care and were started on a course of antibiotics. In the meantime, their CGM is showing elevated blood sugars in the 200 to 350 range during the day but often less than 100 at night. RL weighs 70kg, with a BMI of 23.4.

Based on this information, what action do you suggest?

1. Decrease carbohydrate intake by 20-25% until the infection subsides.
2. Increase the degludec by 20% to get blood glucose levels to target.
3. Encourage RL to walk after meals to decrease post prandial blood sugar levels.
4. Suggest initiation of bolus insulin once or twice daily.

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