Management of T2D Flashcards
1
Q
What is the first-line management of newly diagnosed T2D?
A
Lifestyle changes
+ metformin
2
Q
When is a second drug added?
A
HbA1c > 58mmol/mol (7.5%)
3
Q
What classes of drugs are options for second line treatment?
A
Sulfonylurea e.g. gliclazide
GLP-1 mimetic e.g. exenatide, liraglutide
Pioglitazone
SGLT2 inhibitor e.g. dapagiflozin
4
Q
When is triple therapy indicated?
A
If the HbA1c stays above 58 (7.5)
5
Q
Specific dietary advice for T2D?
A
High fibre, low glycaemic index
Low fat dairy products
Oily fish
6
Q
What is the initial target weight loss in a type 2 diabetic?
A
5-10%
7
Q
What is the target blood pressure in T2DM?
A
<140/80
<130/80 if end-organ damage is present
8
Q
What is first-line for hypertension in diabetics?
A
ACE inhibitors
