Patient Management | Type 2 Diabetes Poorly Controlled | Single Oral Hypoglycemic Agent

Purpose: To evaluate a patient with Type 2 diabetes who is poorly controlled on a sngle oral hypoglycemic agent.

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Evaluation

Are you evaluating a patient with Type 2 diabetes who is poorly controlled with a single oral hypoglycemic agent?

Yes

Select an appropriate answer to indicate the oral agent being used

Current oral hypoglycemic agent

Fasting glucose after 3-4 months on two agent therapy,

Hemoglobin A1c after 3-4 months on 2 agent therapy (enter from 0 to 100)

percent

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Second agent to consider

Is there evidence of adequate control after addition of the second agent?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
- Drugs Capable of Causing Hypoglycemia
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus
Criteria For Diagnosis
Severity, Prognosis, Stage
- Indian Diabetes Risk Score (IDRS)
Complications
Failure Handling, When To Refer
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus

Therapy

Options
- Diabetes Mellitus | Guidelines for Hospital Admission
- Recommendations for Managing a Diabetic in the Hospital
Selection
Drug Interactions
- Drugs Capable of Causing Hypoglycemia
Dosage Calculations
- Glycemic Penalty Index (GPI)
Dosage Adjustments
Administration
Failure Handling And Therapy Escalation
- Troubleshooting Diabetic Patient with Persistently High Hemoglobin A1c
Prevention

Monitoring

Response To Therapy
- Diabetes Mellitus Performance Measures for Evaluating Outpatient Management
Adverse Effects
Overdose And Reversal
- Prolonged Hypoglycemia | Use of Sulfonylurea and Its Treatment with Octreotide
Disease Progression
Complication Detection
- Risk Factors for Failing to Recognize Hypoglycemia in a Diabetic
- Screening Patients for Drug-Induced Hyperglycemia

Patient Concerns

Travel
- Glycemic Penalty Index (GPI)

Specialty

Endocrinology
Clinical Laboratory

Objective

dosage adjustments
failure handling and therapy escalation

ICD-10

T38.3 - Poisoning, insulin and oral hypoglycaemic [antidiabetic] drugs
E11.8 - Non-insulin-dependent diabetes mellitus with unspecified complications
E11.9 - Non-insulin-dependent diabetes mellitus without complications

Info

Purpose: To evaluate a patient with Type 2 diabetes who is poorly controlled on a sngle oral hypoglycemic agent.

Specialty: Endocrinology, Clinical Laboratory

Objective: dosage adjustments, failure handling and therapy escalation

ICD-10: T38.3, E11.8, E11.9,

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