Template:DM outpatient managment: Difference between revisions

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===[[Diabetes]] Outpatient Management===
===Type II [[Diabetes]] Outpatient Management===
*1st line: [[Metformin]] 500mg BID --> 1000mg BID, do not give in people with abnormal LFT's, CHF Stage 3/4 and ARI, CKD
*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
*2nd Agent: [[Glipizide]] start 2.5mg BID 5mg BID, need to monitor for hypoglycemia
*3rd Agent: [[Pioglitazone]]
*3rd Agent: [[Pioglitazone]]
*After 3 agents: need to start [[insulin]] if not controlled  
*After 3 agents: need to start [[insulin]] if not controlled  
**NPH BID or Lantus Qday (0.5mg/kg) and titrate to Fasting Blood Sugar
**NPH BID or Lantus Qday (0.5mg/kg) and titrate to Fasting Blood Sugar

Revision as of 05:14, 12 February 2017

Type II Diabetes Outpatient Management

  • 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
    • NPH BID or Lantus Qday (0.5mg/kg) and titrate to Fasting Blood Sugar