diabetes management


Types of insulin

Weight Based TDD

Outpatient Management

DM2

Goal:

Start with metformin, then go to basal insulin (long acting), then add meal time insulin (short acting)

  1. start metformin and add oral agents
  2. start basal insulin if using 3 or more agents or if A1C > 10%. Target FBG
  3. once fasting is under controlled, recheck A1C in 3 months
    • A1C high: start meal time insulin with largest meal of day, then go up to 3x/day if needed

Meal time insulin:

A1C to glucose conversion:

DM 1

Inpatient management

Smogyi Effect and Dawn phenomenon

charts

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