9. DM Management
• All DM with HPN ACEI or ARB
• Annual influenza vaccine
• Atleast 1 lieftime pneumococcal vaccine
• >40yo: give statin to achieve LDL reduction
of 30-40%
• <40yo: medical tx if diet modification is
failed
• Aspirin tx
11. Alternative tx:
1. Non-SU insulin secretagogue: inc insulin
secretion
2. Glucosidase inhibitor: delays GI absortion
of carbohydrates
12. Combination TX: if FBS>140; 2PPBS>180
1. If on SU: add metfomin or TZD
2. If on metformin: add SU or TZD
3. If on TZD: add SU or metformin
Insulin TX: if blood sugar is not controlled