Monitoring - Oral hypoglycaemics and insulin
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What are monitoring requirements for metformin?
Renal function Baseline and annually (high risk of renal impairment bi-annually)
Why is it important to monitor renal function in those taking metformin?
Due to increased risk of lactic acidosis if kidney’s become impaired
What are monitoring requirements for insulin in adults?
maintain a blood-glucose concentration of between 4 and 9 mmol/litre for most of the time (4–7 mmol/litre before meals and less than 9 mmol/litre after meals).
What are monitoring requirements for insulin in children?
It is therefore best to recommend that children should maintain a blood-glucose concentration of between 4 and 10 mmol/litre for most of the time (4–8 mmol/litre before meals and less than 10 mmol/litre after meals).
Patient/Carer advice for Metformin?
Risk of Lactic acidosis: - dyspnoea muscle cramps abdo pain hyporthermia asthenia