Executive Summary

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Executive summary

- All women planning for pregnancy or conceived should be screened for diabetes. Only insulin is recommended for use in pregnancy and lactation period.

- Insulin is the only therapy in children <10 years of age. Metformin can be given after 10 years.

- In hospital admitted patients, insulin therapy should be initiated in persistent hyperglycemia >10 mmol/L, checked on two occasions. Target blood glucose is to be maintained between 7.8 and 10 mmol/L. In critical setting intravenous insulin infusion is preferred.

- During sick days, the person should be advised to check blood glucose at home frequently and take plenty water and fluid.

- Diabetes education and counselling should be given prior to Ramadan and Hajj.