Diabetes Algorithm for Glycemic Control

AACE/ACE Diabetes Algorithm for Glycemic Control

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SUMMARY OF KEY BENEFITS AND RISKS OF MEDICATIONS Benefits are classified according to major effects on fasting glucose, postprandial glucose, The intensity of the background shading of the cells reflects relative importance of the bene Metformin (MET) Postprandial Glucose (PPG) - lowering Fasting glucose (FPG) - lowering Nonalcoholic fatty liver disease (NAFLD) Hypoglycemia Gastrointestinal Symptoms Risk of use with renal insufficiency Contraindicated in Liver Failure or Predisposition to Lactic Acidosis Heart failure / Edema Weight Gain Fractures Drug-Drug interactions Inhibitor DPP4 GLP-1 Agonist (Incretin Mimetic) Mild Moderate Mild Neutral Sulfonylurea (SU) MEDICA Glinide** BENE Moderate Moderate to Marked Moderate Moderate Mild Neutral Neutral Mild Mild Neutral Moderate Neutral Moderate Severe Severe Use with caution in CHF Benefit Neutral Neutral Reduce Dosage Moderate Neutral Neutral Neutral Neutral Neutral Neutral Neutral Benefit Neutral Neutral * The abbreviations used here correspond to those used on the algorithm. **The term 'glinide' includes both repaglinide and nateglinide. Moderate Neutral Moderate Neutral Moderate Mild Neutral RIS Mild Neutral Neutral Moderate Moderate Neutral Mild Neutral Neutral Mild Neutral Moderate Moderate

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