Clinical Approach to Medical Management of Type 2 Diabetes
Clinical Approach to Medical Management of Type 2 Diabetes
Clinical Approach to Medical Management of Type 2 Diabetes
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Standards <strong>of</strong> <strong>Medical</strong> Care in <strong>Diabetes</strong> 2012<br />
• At the time <strong>of</strong> type 2 DM diagnosis, initiate metformin<br />
along with lifestyle interventions, unless MF is<br />
contraindicated<br />
• If MF monotherapy at maximal <strong>to</strong>lerated dose does not<br />
achieve or maintain the A1C target over 3–6 months, add<br />
a second oral agent, a GLP-1 recep<strong>to</strong>r agonist, or insulin<br />
• In newly diagnosed type 2 DM patients markedly<br />
symp<strong>to</strong>matic and/or elevated glucose levels or A1C,<br />
consider insulin therapy, with or without additional agents<br />
DIABETES CARE, VOLUME 35, SUPPLEMENT 1, JANUARY 2012