In this episode:

• Patients on medications that have a low incidence of hypoglycaemia with T2DM do not need finger-prick blood glucose testing. GPs will rely on HbA1C to guide management. However, its use in Sick Days management is still important
• When to test for ketones in T2DM? No real indication in T2DM except in insulin deficiency eg. LADA
• The widespread use of SGLT2 inhibitors had increased the incidence of ketoacidosis often triggered by an intercurrent illness. Check blood ketone levels or at least urinary ketones for all patients on SGLT2 inhibitors who have an intercurrent illness or report feeling unwell with nausea, abdominal pain
• Continuous glucose monitoring (CGM) can give patients a good understanding of what impact various foods and types of exercise have on their blood glucose levels

Host: Dr David Lim, GP and Medical Educator

Total time: 36 mins

Guest: A/Prof Gary Kilov, General Practitioner