If A1C target not achieved after 3 mo of triple tx:9

By vgreene, 21 May, 2015
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<sup>9</sup> Individualize targets; in many nonpregnant adults: A1C <7%, preprandial PG 80-130 mg/dL, postprandial PG (1-2h after beginning of meal) <180 mg/dL.
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If on PO combination, move to injectables
If on GLP1-RA, add basal insulin
If on optimally titrated basal insulin, add GLP1-RA or mealtime insulin
If refractory, consider adding TZD or SGLT2-I
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If A1C target not achieved after 3 mo of triple tx:<sup>9</sup>