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MONOTHERAPY 1 DUAL THERAPY 1 DUAL Therapy TRIPLE Therapy OR INSULIN ± Other Agents ADD OR INTENSIFY INSULIN Refer to Insulin Algorithm LEGEND Few adverse events and/or possible benefits Use with caution Entry A1C 9.0 1 If not at goal in 3 monthsOrder of medications represents a suggested hierarchy of usage; length of
Initiate insulin therapy with daily basal or bedtime NPH 6 Glycemic Goals 1,2 Individualize goal based on patient risk factors A1c ≤6%<7% <8% FPG ≤110 120 140 mg/dL 2h PP ≤130 180 180 mg/dL Footnotes 1 For the complete approach to insulin initiation in type 2 diabetes, see Insulin Algorithm for Type 2 Diabetes in Children and Adults.
https://www.dshs.texas.gov/txdiabetes/toolkit/Ins_InsulinAlgorithmType2.pdf
How to Use ADA’s Type 2 Diabetes Treatment Algorithm Carlos Mendez, MD, FACP Presenter Disclosure Information ... Oral Agents & Non-Insulin Injectables Most Popular in U.S. and Europe Less Commonly Used Metformin SGLT-2 Inhibitors GLP-1 Receptor Agonists DPP-4 Inhibitors
https://professional.diabetes.org/sites/professional.diabetes.org/files/media/mendez_how_to_use_the_type_2_diabetes_treatment_algorithm.pdf
1 of 1 –Insulin Algorithm for Type 1 Diabetes in Children and Adults –Revised 4/28/16 Split-Mix Insulin Therapy4 Begin 0.1-0.3 (children) or 0.3-0.5 (adults) units insulin/kg/day and titrate to goal 1. Two injections using NPH + Reg or RAI 2/3 total daily units insulin is given in the AM and 1/3 given in the PM
https://www.dshs.texas.gov/txdiabetes/toolkit/Ins_InsulinAlgorithmType.pdf
MONOTHERAPY 1 DUAL THERAPY 1 DUAL Therapy TRIPLE Therapy OR INSULIN ± Other Agents ADD OR INTENSIFY INSULIN Refer to Insulin Algorithm LEGEND Few adverse events and/or possible benefits Use with caution Entry A1C 9.0 1 If not at goal in 3 monthsOrder of medications represents a suggested hierarchy of usage; length of
https://www.aace.com/pdfs/diabetes/AACE_2019_Diabetes_Algorithm_FINAL_ES.pdf
Algorithm for the Management of Type 2 Diabetes ... (Isophane insulin) 1st choice for example Humulin I or Human Insulatard Ensure simplifying regimens. Avoidance of hypoglycaemia a priority Consideration of education / support to care givers or if person with diabetes is institutionalized.
http://www.yorkandscarboroughformulary.nhs.uk/docs/BNF/06/Algorithm%20for%20the%20treatment%20of%20Type%202%20Diabetes%20Approved%20Version%20v2.3.pdf?UNLID=9242837172019424155920
Although patients with type 1 diabetes most commonly present with abrupt onset of symptoms and weight loss, type 1 diabetes can occur in patients at any age and weight. Diabetic ketoacidosis is also a frequent initial presentation.
https://wa.kaiserpermanente.org/static/pdf/public/guidelines/diabetes1.pdf