Treating to target in type 2 diabetes: A case presentation

With a pharmacologic regimen that included OADs and insulin, in addition to lifestyle modifications and instruction from a certified diabetes educator, Mrs Diaz was able to achieve glycemic control. Type 2 diabetes is a multifaceted disease in which numerous factors contribute to the increase in blood glucose. Similarly, management of type 2 diabetes must involve a multifaceted approach that addresses all of the contributing factors. This case study illustrates how type 2 diabetes can be effectively managed with an approach that involves (1) using a multidisciplinary team that includes a certified diabetes educator and a registered dietitian; (2) controlling concomitant risk factors, including obesity, hypertension, and dyslipidemia; (3) reducing both FPG and PPG levels; (4) choosing appropriate combinations of OADs; (5) initiating insulin therapy at the appropriate time; (6) selecting an insulin regimen that provides flexibility; (7) initiating frequent patient monitoring; and (8) reevaluating treatment options when response is not adequate.