By rray, 9 February, 2023 Patient Type Header (Long) Intensification to injectable tx needed Does this Patient Type contain sub types? No Patient Type Sub Headers To meet individual tx goals use principles from above sections incl reinforcement of behavioral interventions wt mgmt physical activity provision of DSMES Patient Type Details To meet individual tx goals use principles from above sections including reinforcement of behavioral interventions wt mgmt physical activity and provision of DM self mgmt education and support DSMES If injectable tx needed to reduce A1C If A1C still above target add basal insulin2 basal analog or bedtime NPH insulin3 If above A1C target and not already on GLP 1 RA or GIP GLP 1 RA consider these classes either in free combo or fixed ratio combo w insulin If A1C still above target add prandial insulin or if on bedtime NPH consider switch to bid NPH regimen4 If A1C still above target consider 1 of 3 options