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| ==Differential Diagnosis==
| | #REDIRECT[[Diabetes mellitus (main)]] |
| {{Hyperglycemia DDX}}
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| ==Treatment==
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| *If HbA1c > 6.5, titrate fasting blood sugar to 80 to 120
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| *ADA diet control until HbA1c is >7
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| *1st line Metformin 500mg BID --> 1000mg BID, do not give in people with abnormal LFT's, CHF Stage 3/4 and ARI, CKD
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| *2nd Agent Glipizide start 2.5mg BID -->5mg BID, need to monitor for hypoglycemia
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| *3rd Agent Pioglitazone
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| *After 3 agents need to start insulin if not controlled, ie NPH BID or Lantus Qday (0.5mg/kg) and titrate to Fasting Blood Sugar
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| *all DM need HbA1c q 3mo, Ma-cr to check for microalbuminuria q year
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| ==See Also==
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| *[[Diabetes Mellitus (Main)]]
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| [[Category:Endo]]
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