A 60-year-old man is admitted with chest pain to the Emergency Department. He has a past medical history of type 2 diabetes, hypertension and high cholesterol. His regular medications includes simvastatin, bisoprolol, glibenclamide and metformin. An ECG shows ST elevation in the anterior leads and he is referred for primary angioplasty. Following the procedure, he was transferred to the Coronary Care Unit (CCU). He has a blood glucose measurement of 15 mmol/l. Which drug regime should be commenced? A. Continue metformin and glibenclamide at same dose B. Stop metformin and increase dose of glibenclamide C. Subcutaneous insulin: basal-bolus regime D. Subcutaneous insulin: biphasic insulin regime E. Intravenous sliding scale insulin
Posted on: Sun, 06 Oct 2013 09:26:33 +0000
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