Table 1.
Conditions | Actions | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Profile # | Number of patients | Acute symptoms | HbA1c (%) | Ongoing type of treatment | BMI* (Kg/m2) | Renal insufficiency | Elderly | Type of treatment | Pharmaco-therapeutic class | International non proprietary name | Dose |
1 | 2 | Yes | Any | Any | Any | Any | Any | Insulin therapy | Insulin | NM*** | NM*** |
2 | 16 | No | ≤ 6.5 | Any | Any | Any | Any | The same as ongoing treatment | The same as ongoing treatment | The same as ongoing treatment | The same as ongoing treatment |
3 | 7 | No | Between 6.6 and 8 | Diet and Exercise | Any | Any | Any | Evaluate risk-benefit of continuing or changing the treatment | NM*** | NM*** | NM*** |
4 | 51 | No | Between 6.6 and 8 | Monotherapy | Any | Any | Any | Evaluate risk-benefit versus of continuing or changing the treatment | NM*** | NM*** | NM*** |
5 | 59 | No | Between 6.6 and 8 | Bitherapy | Any | Any | Any | NM*** | NM*** | NM*** | NM*** |
6 | 16 | No | Between 6.6 and 8 | Tritherapy | Any | Any | Any | NM*** | NM*** | NM*** | NM*** |
7 | 84 | No | Between 6.6 and 8 | Insulin [+OAD]** | Any | Any | Any | NM*** | NM*** | NM*** | NM*** |
8 | 2 | No | >8 | Diet and Exercise | Any, other than "BMI ≥ 28 and no renal insufficiency" | No | Monotherapy | Any | NM*** | NM*** | |
9 | 1 | No | >8 | Diet and Exercise | Any, other than "BMI ≥ 28 and no renal insufficiency" | Yes | Monotherapy | Any, other than long acting sulfonylurea | NM*** | NM*** | |
10 | 2 | No | >8 | Diet and Exercise | ≥ 28 | No | Any | Monotherapy | Biguanides | Metformine | NM*** |
11 | 24 | No | >8 | Oral monotherapy not at maximum dose | Any | Any | Any | Oral monotherapy | The same as ongoing treatment | NM*** | Increase dose until reaching the maximum tolerated |
12 | 1 | No | >8 | Oral monotherapy at maximum dose | Any | Any | Any | Oral bitherapy | NM*** | NM*** | NM*** |
13 | 39 | No | >8 | Oral bitherapy with any combination other than "Oral bitherapy with biguanides and sulfonylurea at maximum dose" | Any | Any | Any | Oral bitherapy | Biguanides and sulfonylurea | NM*** | NM*** |
14 | 18 | No | >8 | Oral bitherapy with biguanides and sulfonylurea at maximum dose | Any | Any | Any | Insulin [+OAD]** | Insulin [+OAD]** | NM*** | NM*** |
15 | 18 | No | >8 | Oral tritherapy | Any | Any | Any | NM*** | NM*** | NM*** | NM*** |
16 | 123 | No | >8 | Insulin [+OAD]** | Any | Any | Any | NM*** | NM*** | NM*** | NM*** |
* BMI: body mass index
** Insulin [+OAD]: insulin alone or with oral anti-diabetic drugs
*** NM: not mentioned in the guidelines