Diferencia entre revisiones de «New onset diabetes mellitus»
Sin resumen de edición |
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==See Also== | ==See Also== | ||
*[[Diabetes Mellitus (Main)]] | |||
*[[Diabetes ( | |||
[[Category:Endo]] | [[Category:Endo]] | ||
Revisión del 05:13 21 mar 2014
Treatment
- If HbA1c > 6.5, titrate fasting blood sugar to 80 to 120
- ADA diet control until HbA1c is >7
- 1st line Metformin 500mg BID --> 1000mg BID, do not give in people with abnormal LFT's, CHF Stage 3/4 and ARI, CKD
- 2nd Agent Glipizide start 2.5mg BID -->5mg BID, need to monitor for hypoglycemia
- 3rd Agent Pioglitazone
- 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
- all DM need HbA1c q 3mo, Ma-cr to check for microalbuminuria q year