Insulin

Dr. McPhee gives you a disapproving look.

This is not the best choice for Mr. Green. While insulin is important in managing hyperglycaemia when first-line medications fail or in cases of severe, uncontrolled diabetes (e.g. HbA1c levels >10% or fasting blood glucose >300 mg/dL), it is not the most appropriate starting point for Mr. Green.

Starting insulin requires careful monitoring and increases the risk of hypoglycaemia and weight gain, which are significant concerns in Mr. Green, who is overweight and has hypertension. It is also administered subcutaneously and it is quite expensive. Try to think about other cost-effective agents with favourable weight and cardiovascular profiles.

  • Nurse's Initial Report [undo]
  • Sacubitril-valsartan (ARNI) [undo]
  • Restriction Endonuclease Digestion of DNA: Selecting the Right Enzyme [undo]
  • Furosemide (loop diuretic) [undo]
  • Option 2: Only B is correct [undo]
  • CULTIVO Y CRECIMIENTO MICROBIANO [undo]
  • BEGIN SCENARIO [undo]
  • Analgetics [undo]
  • Root Node [undo]
  • Ζητώ καρυότυπο [undo]
  • Ξεκινήστε βυθίζοντας την πιπέτα μέσα στο υγρό που σκοπεύετε να αναρροφήσετε [undo]
  • Permanently stop taking metformin [undo]
  • rewrerwe [undo]
  • Χαρακτηριστικά [undo]
  • Examination [undo]
  • Glyceryl trinitrate (organic nitrate) [undo]
  • Presentation [undo]
  • Video Consultation [undo]
  • ELECTRON MICROSCOPY [undo]
  • Επιλογή 3 [undo]
  • Ask local cadre to help [undo]
  • Definition 1 [undo]
  • Επιλογή 2 [undo]
  • Warfarin may be commenced as an alternative to apixaban [undo]
  • Η ποιότητα ζωής του ασθενούς χειροτερεύει [undo]
  • Ramipril (ACE inhibitor) [undo]
  • Decreased production of glucose from the liver [undo]
  • Start the consultation without verification [undo]
  • Definition 2 [undo]
  • Omalizumab (IgE antibody)/Salbutamol (SABA) [undo]
  • Laboratory Safety [undo]
  • Salbutamol (SABA) [undo]
  • Continue taking metformin as prescribed [undo]
  • MICROSCOPIA ELECTRONICĂ [undo]
  • Decreased levels of HDL [undo]
  • Insulin [undo]

Map: Michael Green_GEMD_2 (1116)
Node: 21114
Score:

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