• Aust Prescr · Oct 2018

    Review

    Second steps in managing type 2 diabetes.

    • Carolyn J Petersons.
    • Canberra Hospital and Health Services.
    • Aust Prescr. 2018 Oct 1; 41 (5): 141-144.

    In Type 2 Diabetes Diet Exercise And Attaining A Healthy Weight Should Be Encouraged At Every OpportunityMetformin Is The Usual First Line Drug ManagementSulfonylureas Are Appropriate As Second Line Drugs For Many Patients Other Oral Drugs Are Preferable If Weight Gain Or Hypoglycaemia Are Significant ProblemsIf A Combination Of Metformin And A Sulfonylurea Is Not Suitable Either A Dipeptidyl Peptidase 4 Inhibitor Or Sodium Glucose Co Transporter 2 Inhibitor Can Be Prescribed The Patient Characteristics And The Beneficial And Adverse Effects Of The Drug Should Be Considered When Selecting Second Line TherapyDue To Their Adverse Effect Profiles Thiazolidinediones And Acarbose Should Be Reserved For Patients With Contraindications To All Other Oral Drugs And Those Who Will Not Tolerate Injectable Drugs

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