Management of Diabetes Flashcards
1
Q
type 1
A
insulin should be give as a twice daily regime
metformin can be added if BMI>25
2
Q
type 2
A
lifestyle factors first
aim for 48
add metformin if it doesn’t
if rises to 58
add another drug
if still remains at 58
consider triple therapy or insulin
if triple therapy to unresponsive/uneffective
give GLP-1 with metformin and Sulfonylurea
3
Q
what are the HbA1c targets
A
lifestyle - 48
lifestyle + metformin - 48
lifestyle but sulfonylurea - 53
lifestyle + one drug and levels 58 - 53
4
Q
management if unwell
A
increasing monitoring frequency
keep up with medications no matter war
fluids
5
Q
what can worsen diabetes control
A
steroids
6
Q
how do you manage diabetes during MI
A
dose adjusted insulin infusion with regular monitoring
