By rray, 9 February, 2023 Exclude Patient Type Detail Header No Detail Type Text Detail Text Consider GLP 1 RA1 or GIP GLP 1 RA in most pts prior to insulin initiation Initiate appropriate start dose varies by agent w in class and gradually titrate to maintenance varies by agent If already on GLP 1 RA or GIP GLP 1 RA or if these aren t appropriate or insulin is preferred proceed to basal insulin next step below 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 Patient Type Detail Header (Long) If injectable tx needed to reduce A1C: