If you are still stuck on the “metformin to start with and max out the dose” diabetes treatment algorithm, then you’d better take a look at this week’s homerun slides.

Considering there are 11 distinct pathways to developing diabetes, it doesn’t make any sense that all our patients would only have some sort of excess glucagon release problem.

Dr Stanley Schwartz discusses how different causes require different medications, and how you can choose the best one. He also helps you choose based on the patient’s comorbidities.
(From "Diabetes In Control" newsletter)