Pearls:

The A1c goals of treating diabetes are not the same for every patient. Younger patients can probably tolerate a lower goal closer to normal while older patients cannot tolerate the risks of hypoglycemia that come with such tight control.

Glance below or come back and reference the chart below for the diabetes medications.

Metformin is going to be your first-line agent.

Insulin comes into the picture after you’ve exhausted 3-4 agents without glycemic control.