11-13-2007, 05:35 PM
Can anyone give me an input how to manage a pt with new onset of DM 2? therapy?
DM II - new onset - hoto or aissman - kidneydoc
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11-13-2007, 05:35 PM
Can anyone give me an input how to manage a pt with new onset of DM 2? therapy?
11-13-2007, 05:42 PM
pleaaaaaaaase hoto do not answer this tonight, answer it tomorrow after your test, no offense to you kidneydoc, but hoto needs to relax for the rest of the test tomorrow....
manage him, fasting CBC CMP Urine for Microalbumin Good retina examination -- Opthalmologist referral make sure he is on Aspirin Hemoglobin AIC, I like to get a TSH Metformin ACEi -- Enalalpril Dietary consult fasting Lipid panel I am sorry if it is too general, its definitely not very well organized, but honestly in any setting, this is all that you really need. Hoto probably knows much better, as he is much more fresh with step 3, but he needs to rest up for tomorrow........
11-14-2007, 05:22 AM
complete pe
cbc bmp finger stick glucose hba1c urine for microalbuminuria lipid profile opthal consult and also depending upon age other screening may be also an baseline ekg..not sure of this metformin patient education, diabetes diabetic diet diabetic foot care home glucose monitoring and other routine counselling correct me if i am wrong
11-14-2007, 05:41 AM
Genisis..do we need to keep the patient on enalapril ,,i guess thats only when the pt has hypertension or when there are signs of renal failure due to diabetes...
agree with Sandya's management... |
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