New onset diabetes mellitus: Difference between revisions
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==Treatment== | ==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== | ==See Also== | ||
Revision as of 05:30, 10 August 2011
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