Sep 25, 2019
4
0
Status
Medical Student
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)
 
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Ironheme

7+ Year Member
Sep 14, 2011
197
162
Status
Resident [Any Field]
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.
 
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scharnhorst

10+ Year Member
Jan 26, 2008
177
47
Status
Fellow [Any Field]
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
 
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