New onset diabetes mellitus: Difference between revisions

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==Treatment==
#REDIRECT[[Diabetes mellitus (main)]]
*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]]

Latest revision as of 04:16, 10 November 2018