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. 2009 Jun 10;9:28. doi: 10.1186/1472-6947-9-28

Table 1.

Possible patient conditions and their corresponding actions from the guidelines

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