what treatment to use when

Question 1

if a person has high HbA1c and symptomatic

Answer 1

sulphonyureas

Question 2

slightly high HbA1c and risk if hypo

Answer 2

DPP4i

Question 3

if HF/IHD

Answer 3

SGLT2i as proven reduced mortality from HF

Question 4

Renal failure

Answer 4

DPP4i or SU lower doses

Question 5

marked obesity

Answer 5

pioglitazone v.efeccetive but more weight gain, SGLT2 less effective

Question 6

desiring pregnancy

what else do you need to check

Answer 6

none- only met form and insulin suitable - also stop statins and ACEi as potentially teratogenic