What are the latest guidelines for management of diabetes?

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It is very difficult to summarise entire guidelines here HbA1c of more than 6.5, fasting blood sugar more than 126 mg/dl, post lunch blood sugar more than 200 mg/dl is diagnostic criteria for diabetes Metformin is usually first drug used in treatment of diabetes SGLT2 Inhibitor are the latest addition in management of diabetes. Research work have showed that they have significant cardioprotective and renoprotective property. Therefore many organisation suggest that it should be second drug to be added to Metformin in treatment of diabetes Pioglitazone is again preferred in management of diabetes because of its cardioprotective effect and lesser potential of hypoglycemia In advanced stage, management diabetes will require introduction of insulin, newer insulin analogue such as Glargine insulin and Degludec insulin are preferred agent for starting insulin treatment in diabetic people. They form basal insulin therapy. Short acting insulin may need to be added in later stage when insulin resistance creeps in. Several short acting insulin and analogue insulin are available such as human regular insulin, Glulisine, Lispro, Aspart etc

Dr jayesh SGLT2 DROGS LIKE DAPAGLFV INCREASE GLYCOSURIA WHICH IN LONG RASE RESULTS SEVERE UTI NEPHRITIS FEET GANGRENE IT IS NOT FREQUENTLY OCCURS BUT MAY BE IN LONG TT YOUR valueble openion plse
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* HBA1C .. MORE THAN .. 6.5 .. FBSL ..MIRE THAN .. 12O MG .. PMBSL .. MORE THAN .. 200 MG .. NEED'S .. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH.. * OHA .. * INSULIN .. * DIABETIC DIET PLAN .. * REGULAR EXERCISE ..

Latest guidelines: Whenever u see sugar level above baseline then starts with first.. Diet and exercise Then On OHA If still sugar persist or gets uncontrollable Then start on insulin therapy.. These simple guidelines r from century..

Thanks for ur appreciation Dr SI Godara sir..
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