By rray, 9 February, 2023 Consider healthy lifestyle behaviors DM self mgmt education and support DSMES avoidance of therapeutic inertia and social determinants of health SDOH when choosing glucose lowering tx A
By rray, 9 February, 2023 No clear evidence that dietary supplements e g herbs and botanicals high dose vitamins and minerals amino acids enzymes antioxidants etc are effective for obesity mgmt wt loss 6 Supplementation of certain vitamins and minerals e g iron vit B12 vit D may b
By rray, 9 February, 2023 Obesity mgmt wt loss Care goals should include wt loss or prevention of wt gain minimizing progression of hyperglycemia and addressing CV risk B Consider pharmacotherapy to support pt centered goals B Consider more intensive preventive strategies in pts a
By rray, 9 February, 2023 Based on pt preference consider DM technology assisted tools to help prevent delay T2DM onset B
By rray, 9 February, 2023 Stroke MI prevention To lower stroke MI risk consider pioglitazone in pts w stroke hx and evidence of insulin resistance prediabetes Benefit needs to be balanced w increased risk of wt gain edema fx A Lower doses may mitigate ADR risk but may be less effe
By rray, 9 February, 2023 Statin tx may increase risk of T2DM in at risk pts monitor glucose status and reinforce DM prevention in such pts Statin d c isn t recommended B