T2DM treatment Flashcards

1
Q

Always 1st line

A

Metformin and lifestyle
Except if they cant have metformin as they have poor renal function

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2
Q

If they have CVD

A

GLP-1s or SGLT2s

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3
Q

If they have HF or CKD

A

SGLT2s (GLP-1s if they cant have them)

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4
Q

Is cost major issue

A

SUs or TZDs (give both if HbA1c still above target)

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5
Q

Need to lose weight

A

GLP-1s or SGLT2s (give both if HbA1c still above target)

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6
Q

Need to reduce HbA1c

A

DPP4s, GLP-1s, SGLT2s, TZDs
Keep adding until HbA1c under target

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