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1 paź 2019 · Once-weekly insulin degludec dose titration algorithms based on a single prebreakfast blood glucose value or on three consecutive values showed similar effectiveness in reducing A1C and FPG .
24 cze 2021 · Practical recommendations on insulin titration. Simple algorithms for dose titration of insulin analogs have been suggested, acknowledging the need for individual FPG targets based on patient characteristics and instructions from individual product labels (Table 2) [4, 25–29].
Metformin Monotherapy. Recommended dosage 1000 mg BID ( if tolerated) Titrate slowly over 1-2 weeks (500 mg increments and always with food) Use of extended release highly recommended. Continue full dosing if GFR > 45 cc/min. Reduce to 500 mg BID if GFR 30-45 cc/min. STOP Metformin if GFR less than 30.
May consider self titrating basal insulin by increasing dose 1 unit every day until average fasting glucose is < 130, if that is easier for the patient to understand. Self titration of small doses may be easiest for patients using insulin pens.
14 paź 2022 · In this article, we describe a safe and simple insulin titration algorithm that addresses many of the obstacles that clinicians and patients encounter when adding mealtime insulin to a basal-only insulin regimen.
Algorithm for the Management of Type 2 Diabetes. STEP 1 – Initial Drug Treatment – Monotherapy: Target HbA1c 48 mmol/mol. Lifestyle advice + Referral to Good2Go Metformin (consider 3 months lifestyle change first) Consider trial of modified-release metformin in patients who experience gastrointestinal side effects with standard release metformin.
4-T Insulin Titration Algorithm. Prior to each visit and telephone contact patients are asked to perform three self-measured capillary glucose profiles, before breakfast and the evening...
