Clinical Pearls on Type II Diabetes

A small handful of things learned today on Type II Diabetes:

  • Actos (pioglitazone) is contraindicated in patients with Congestive Heart Failure due to the fact that is promotes Fluid Retention on some patients.
  • One of the best remedies for acute events of Hypoglycemia is drinking a glass of milk.  The lactose provides quick energy and the protein/fat content helps keep blood sugars elevated past 30 minutes post ingestion.
  • Glucophage (Metformin) is the goto drug for new onset Type II Diabetes patients as it promotes weight loss, regulates blood sugars well and is relatively inexpensive.    One must warn of the diarrhea associated with the initial stages of taking the drug.
  • Lantus Insulin is wonderful, it provides for a near steady-state 24 hour coverage for those who need blood sugar control who fail oral therapy.

Tags: , , , , , ,

Leave a Reply