• Last updated February 17, 2021

Clinic Visit Checklist

• annual foot exam
• annual eye exam with optometry or ophthalmology
• q3month hemoglobin A1C
• annual lipid profile
• annual urine microalbumin
• recommended vaccines: pneumococcal, tdap, hep B, zoster, flu

Diabetic foot wounds - Guidelines

Oral Medication for Type 2 DM

• Metformin: can dose in different ways, e.g. 500mg BID or 1000mg once daily are both ok
• No reason to not use Metformin ER. ER has less GI side effects and also on Walmart $4 list
• Start with Metformin, if not at goal <7% by 3 months or higher for older patients, then add second agent
• Sulfonylureas: avoid unless patient could not afford others
• Glipizide: shortest acting, least amount of hypoglycemia potential.

• GLP1 and SGLT2 good choice for second agent