Bifalgorithm post · BMJ Open Diabetes Research & Care is an open access · Study setting and clinical algorithm
Postprandial Therapy
Postprandial Therapy (BMJ Open Diabetes Research & Care is an open access · Study setting and clinical algorithm) — "Metformin and/or short-acting insulin are…
Ideas in this flowchart
- Management of elevated postprandial glucose
- Metformin and/or short-acting insulin are treatment options
- The choice considers patient preference
- Risks and benefits of both options are discussed
- The unknown effects of transplacental passage of metformin are discussed
- The degree of postprandial hyperglycemia informs the choice
- When needed, short-acting insulin is titrated
- Titration is guided by regular reviews
- Reviews occur weekly or twice weekly
- Reviews are conducted by a diabetes dietician, diabetes specialist nurse, or diabetologist
- Short-acting insulin titration occurs alongside patient-led basal insulin titration