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
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Postprandial Therapy

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BMJ Open Diabetes Research & Care is an open access

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"Metformin and/or short-acting insulin are used for elevated postprandial glucose in accordance with patient preference (after discussing risks and benefits of both options and the unknown effects associated with transplacental passage of metformin) and the degree of postprandial hyperglycemia. When needed, short-acting insulin is titrated by regular (weekly or twice weekly) reviews by a diabetes dietician, diabetes specialist nurse, or diabetologist alongside the patient-led basal insulin titration."

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