Fig. 6: Management of hyperglycemia in type 2 diabetes. BMI = body mass index. *When used in combination with insulin, insulin sensitizers may increase the risk of edema of congestive heart failure. The combination of an insulin sensitizer and insulin is currently not an approved indication in Canada. †If using preprandial insulin, do not add an insulin secretagogue. Reprinted with permission from Can J Diabetes 2003;27(Suppl 2):S39.