Optimising Glycaemic Control
General principles of glycaemic control
New Diagnosis of Type 2 Diabetes
Referral for Education.
Attention to lifestyle factors:
-
Diet
-
Exercise
-
Smoking
Attention to BP, Cholesterol and cardiovascular risk.
Teach to self-monitor blood glucose ifappropriate (see later)
Book for repeat HbA1c at 3/12 and every 2-6/12 thereafter according to need
If Metformin is suggested in the algorithm and the patient does not tolerate more than one tablet consider slow release Metformin. This is often well tolerated in this group of patients. If still intolerant more to the next step as directed
BMI > 25.9 kg/m2 or BMI < 26 kg/m2 with signs of insulin resistance
BMI > 25.9 kg/m2 or BMI < 26 kg/m2 with signs of insulin resistance
- Acanthosis Nigricans
- Waist Circumference greater than 102cm in men, 88cm in woman
- Polycystic ovarian syndrome
Having considered the above, please click the appropriate button (Yes or No)
