#PreTest Q2⃣#TumorBoardTuesday
🧐 A 75yo♀️w/ER+/HER2- PIK3CA+ mBC is starting 2L therapy with alpelisib+fulvestrant. Baseline A1C=6.1 & BMI is 33. What steps can limit risk for severe hyperglycemia❓
1) Labs QW x 2, then monthly
2) Baseline A1C, then q3 mos
3) Consider metformin
4) All of the above