Consider insulin as the 1st injectable if evidence of ongoing catabolism wt loss if hyperglycemia sx are present if very high A1C levels 10 or BG levels 300 mg dL or if T1DM dx is a possibility

Consider insulin as the 1st injectable if evidence of ongoing catabolism (wt loss), if hyperglycemia sx are present, if very high A1C levels (>10%) or BG levels (≥300 mg/dL), or if T1DM dx is a possibility.