Question about Diabetes Outpatient management:

[HondaCivic22]

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Questions:
1.If you are transitioning from augmentation therapy to basal bolus, do you discontinue the orals?
2.When to start diary, do you continue to do diary?
3.How to adjust oral medication?
4.Instead of adding medication after 3 months, can we titrate doses of orals upward instead?
5.When patient is at 10%, do you intiate only basal insulin? Or do you add orals as well? (For newly diagnosed diabetes patient)

 

[VA Hopeful Dr]

Did your attending give you this for homework?

 

[VA Hopeful Dr]

In any case:

Practice Guidelines Resources | American Diabetes Association

professional.diabetes.org

.

 

[Ironheme]

For your sake I hope you're still a med student or starting as pgy 1.

Try AACE diabetes guideline as well. They have nice algorithms.

 

[HondaCivic22]

Thank you. I appreciate the help. I recently graduated, and I'm learning some stuffs

 

[scharnhorst]

Questions:
1.If you are transitioning from augmentation therapy to basal bolus, do you discontinue the orals?
2.When to start diary, do you continue to do diary?
3.How to adjust oral medication?
4.Instead of adding medication after 3 months, can we titrate doses of orals upward instead?
5.When patient is at 10%, do you intiate only basal insulin? Or do you add orals as well? (For newly diagnosed diabetes patient)

Biggest question in practice
What is covered
What will patient actually take

Rest is just details
Remember true strategists study logistics only amateurs study tactics