By vgreene, 10 January, 2019 Metformin is preferred initial agent, (continue as long as tolerated/not contraindicated)1,2 [A] w/ lifestyle changes, incl wt mgmt and physical activity
By vgreene, 10 January, 2019 To prevent/delay progression to T2DM and maintain QOL: Use lifestyle modifications, consider metformin, monitor regularly; discuss DM technology-assisted tools for self-mgmt/support
By vgreene, 10 January, 2019 Depending on pt preference, consider DM technology-assisted tools to help prevent/delay onset of T2DM [B]
By vgreene, 10 January, 2019 Metformin2,3 to prevent T2DM has the strongest evidence and long-term safety profile: consider if BMI ≥35 kg/m2, age
By vgreene, 10 January, 2019 Refer pts w/ IGT, IFG,1 or A1C 5.7%-6.4% to intensive diet/physical activity behavioral counseling program targeting 7% body wt loss & increasing mod physical activity (eg, walking) to at least 150min/wk [A]