Respected sir, thank you for this informative video. Have a humble request for 'Certificate or Distance education course for diabetes' . Kindly consider .
Second- and third-trimester, metformin treatment of gestational diabetes mellitus appears to be safe in the short term and is effective in many women, but one-third of women using metformin will need supplemental insulin to achieve glycemic targets.
Sir, pt of T2 DM on metformin 200mg bd and glimepiride 1mg Bd comes with hyperglycemia so we advice a serum creatine to make sure whether serum creatinine is in normal levels and then increase the dose of metformin but what to do for the hyperglycemia spike at present do we use Insulin or do we give him another dose of sulphonylureas ?
