Diabetes Oral Medication Choices 2022
If you wish to download the OSCAR Zip file and the PDF file separately, scroll to the bottom of the page.
Created by David Page: For my winter project I have created an eForm to help direct oral medication choices in diabetes.
It has a BC bias because funding is a big part of these choices and BC pharmacare has a process that we need to go through.
Patients here can get pharmacare approval for SGLT-2s and GLP-1s but that does not mean the meds are free.
The decision support leans more on the British than Canadian recommendations (ie more lean towards SGLT-2) and there is a neat chart under the SGLT2/GLP1 button that was created by James McCormack
In resources there are also a couple of useful web links in this regard.
Screening for liver fibrosis with a NIT like FIB-4 is a new concept for me so it is still a WIP in the tool.
Diabetes being a risk factor made sense to include it.
See the Alberta pathway in Resources for more information.
Now that we have potential weight loss medications it may be a reasonable thing to do, and potentially TZD will be coming back for this as well.
You will need to review the instructions first before using- the form is meant to simplify the process but it is still needs a bit of education to use.
When I uploaded it I clicked “ Only show most recent eForm”
If you make changes on the eForm it is worth submitting as this will keep the changes the next time you open it
I am not 100% sure that all OSCAR setups will autopopulate the Platelets, AST and ALT
Let me know if they don’t and I will see if I can change over to the lab engine to bring these in (currently it uses measurements).