Tx Options for Diabetes

Question 1

Summary of tx options for T1DM?

Answer 1

diet

exersise

drugs to alter the evolution of T2DM

insulin - top-up to replacement

combinations of the above

Question 2

summary of tx for T1DM?

Answer 2

insulin - usually started at or shortly after diagnosis

Question 3

What are the tablet tx options for T2DM?

Answer 3

METAFORMIN - first line

sulfonylureas

piolitazone

DPP-4 inhibitors

SGLT-2 inhibitors

GLP-1

insulin

Question 4

side effects and things to look out for with metaformin?

Answer 4

works well

cant be used in pts with renal failure

side effects are gastric or bowl

worse in the first week or so but usually settle down

• check pregnancy panning of woman of child baring age

Question 5

How to administer insulin?

Answer 5

3 options

• 1 injection
• basal bolus injection - 1 x day and 1 bolus injection at time of each meal
• 2 x daily pre mixed insulin contains both short acting and intermediate insulin 2 x day, usually before bfast and before evening meal

Question 6

options to administer insulin?

Answer 6

injection

closed loop devise

insulin pump therapy (replace basal insulin injection and administer boluses of insulin with each meal)