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Diabetes In Control.com Issue #177
This Week’s Question: Which response is one of the current guidelines for switching a patient from insulin to an oral agent? 1. Slowly add metformin while decreasing insulin 2. Add 2 agents like metformin and a glitazone while slowly reducing the insulin 3. Switch insulin to Glargine, add a sulfonylurea and then reduce the insulin by adding metormin or a glitazone. 4. There are no guidelines 5. The patient should decrease carbs to less than 30 a day and decrease insulin accordingly, while starting metformin 500 bid and prandin 1mg before meals. After 4 days patient should stop insulin and increase prandin to 2mg before meals.
This Week’s Question: Which response is one of the current guidelines for switching a patient from insulin to an oral agent?
1. Slowly add metformin while decreasing insulin 2. Add 2 agents like metformin and a glitazone while slowly reducing the insulin 3. Switch insulin to Glargine, add a sulfonylurea and then reduce the insulin by adding metormin or a glitazone. 4. There are no guidelines 5. The patient should decrease carbs to less than 30 a day and decrease insulin accordingly, while starting metformin 500 bid and prandin 1mg before meals. After 4 days patient should stop insulin and increase prandin to 2mg before meals.
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