New onset diabetes mellitus: Difference between revisions

Latest revision as of 04:16, 10 November 2018

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-==Differential Diagnosis==
+#REDIRECT[[Diabetes mellitus (main)]]
-{{Hyperglycemia DDX}}
-==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
-==See Also==
-*[[Diabetes Mellitus (Main)]]
-[[Category:Endo]]