62 year-old woman is seen for uncontrolled type 2 diabetes mellitus of 15 years duration. She brings her fasting and postprandial glucose levels. Her HgbA1c is 9%. Her fasting glucose levels are of the order of 120 to 150 mg/dl. Her postprandial levels are 200 to 300 mg/dl. She has no health insurance. She pays 50 dollars per month for her vial of Humulin 70/30 insulin. She injects herself 50 units in AM and 40 units in PM. Her C peptide is 2.
What is your recommendation on how to control her diabetes?
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