Diabetes Treatment Algorithm

Pharmacy and Therapeutics

In 2016, the ADA published an excellent algorithm that I use for treating my diabetes patients. Source: Diabetes Care 2016 Jan; 39(Supplement 1): S52-S59 Larger image.   Reference  Diabetes Care 2016 Jan; 39(Supplement...

Proton pump inhibitors (PPIs)

Pharmacy and Therapeutics

Long-term PPI use increases the risk of:  Clostridium difficile-associated diarrhea. Other enteric infections Osteoporosis and Osteoporosis fractures. Fractures (of the Hip, wrist, and spine) Community-acquired pneumonia Hypomagnesemia Cardiac events when...

Thiazolidinediones

Pharmacy and Therapeutics

Thiazolidinediones (TZDs) improve hyperglycemia by improving insulin resistance and by maintaining or improving beta-cell secretory function. Side effects “One of the side effects of TZDs is that they can cause fluid retention, especially in patients with...

Drugs for Chronic Heart Failure

Pharmacy and Therapeutics

Heart Failure with Reduced Left Ventricular Ejection Fraction (i.e. <40%) “Systolic heart failure, or heart failure with a reduced left ventricular ejection fraction (<40%), should be managed with an ACE inhibitor and a $-blocker. If there is volume...

Five Mechanisms used to lower blood sugars

Pharmacy and Therapeutics

Diabetes = a problem of high blood sugars (glucose). The solution is anything that will lower blood sugars. *Five mechanisms, one goal. The goal is to lower blood sugars! The first three reduce the amount of sugars entering the blood streams. The last two take sugar...