CLINICAL MANAGEMENT OF DIABETES WITH ORAL HYPOGLYCEMIC AGENTS AND NUTRITIONAL MONITORING EVEN WITH INSULIN USE INDICATION: A CASE REPORT.

Introduction and objective: Diabetes Mellitus is an endocrine disorder in which there is elevated serum glucose levels because there is insufficient insulin supply or due to increased peripheral resistance to the action of this hormone. Onset is usually silent, or there are nonspecific symptoms. The early diagnosis takes into account measurements of fasting blood glucose in laboratory screening tests that can be done in primary care services. Evidence shows that, according to blood glucose levels found, the first option for the pharmacological treatment must be with oral antidiabetic agents. However, with high glycemic rates, it is considered as conduct start immediately, even at diagnosis, the use of exogenous insulin. The objective of this study is to report the case of a diabetic patient in regular follow-up in primary care service , which , although present indication for use of insulin , refused such treatment and achieved good glycemic control with only oral medications and diet. Method: Case report. Results and conclusions: There is a group of patients who reaches said acceptable glycemic targets only using oral drugs and multidisciplinary follow-up, even though the evidence stipulate insulin. The factors that justify it are: understanding the disease; the level of stimulation offered by the doctor; the availability of multi-professional team; the pursuit of a good doctor-patient relationship.