Once the problem is identified its doctors job to address the same.
But my point is how without knowing the problem doctors are trying to prescribe solutions?
To address the problem it is necessary to identify problem.
Ideally:
If facing insulin resistance then Metformin or voglibose or pioglitazone or now newer medications like SGLT2 inhibitors
If facing insulin deficiency then: sulphonlyarea, , Dpp4 inhibitors, or Insulins or GLP1 analogues.
However the trend is to give a combination of metformin plus DPP4 drugs as they give good results and where diet control may not be needed as its a bit powerful.
Diet anyway is not followed or wrong diet is advised.
Also the biggest hidden agenda is Money.......from the industry.
Even when I explained the calculation of eAG from HbA1c, some members got annoyed! Then one can imagine why fasting Insulin is not suggested - to keep ignorant patients in dark.
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