JL is a 78-year-old with type 2 diabetes who has been taking metformin 1000mg BID for the past year. She checks her BG each morning and says it usually ranges from 100 – 138. Her most recent A1c came back at 9.6% and the provider started her on dapagliflozin (Farxiga) 5 mg daily two days ago. JL arrives at the clinic in a panic and says she has been checking her blood glucose 3 times a day it has “jumped up to 236 and 242”. The diabetes specialist double-checked and verified random glucose of 249. What is the best explanation?
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