What insulin regimen adjustments are recommended for a 94 kg adult male with type 2 diabetes on metformin 1000 mg twice daily, dulaglutide (Trulicity) 0.75 mg weekly, rapid‑acting insulin lispro ~14 U total per day before meals, and insulin glargine (Lantus) 56 U twice daily, given fasting glucose 122‑316 mg/dL and post‑dinner glucose 267‑293 mg/dL?

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