A driver on metformin for type 2 diabetes has an HbA1c of 8.2% with no hypoglycemic episodes in the past year. What is the correct certification decision?
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A
Certify for 1 year; metformin does not cause hypoglycemia
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B
Disqualify due to HbA1c above 8%
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C
Require insulin exemption regardless of medication type
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D
Certify for 2 years as long as there are no complications