Situation: A known
patient of NIDDM on oral hypoglycemics presents with hyperglycemic crisis.
Reaction: Oh, my
God! I did not manage the patient aggressively.
Lesson: Make sure that patients with impaired glucose tolerance (IGT) or NIDDM are fully evaluated for complications at the first visit. The present approach to therapy of NIDDM is characterized by proactive shifts to agents that may be combined or prescribed in maximal doses to achieve normal or near normal glycemia from the time of diagnoses of NIDDM or IGT, in order to prevent complications.
Lesson: Make sure that patients with impaired glucose tolerance (IGT) or NIDDM are fully evaluated for complications at the first visit. The present approach to therapy of NIDDM is characterized by proactive shifts to agents that may be combined or prescribed in maximal doses to achieve normal or near normal glycemia from the time of diagnoses of NIDDM or IGT, in order to prevent complications.
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