On metformin but HBA1C Above 58
Metformin +
Gliptin. OR
Pioglitazone OR
Sulfonylurea OR
SGLT 2
Adding Second Agent to Metformin but still HBA1C >58
Metformin + Gliptin + Sulfonylurea
Metformin + Pioglitazone + Sulfonylurea
Metformin + Sulfonylurea + SGLT 2
Metformin + Pioglitazone + SGLT 2
Triple Therapy not effective and BMI >35
Metformin + Sulfonylurea + GLP-1
Triple Therapy not effective and BMI <35
Insulin
If Metformin Not Tolerated
Gliptin OR
Sulfonylurea OR
Pioglitazone
metformin not tolerated and single therapy ineffective
Gliptin + Pioglitazone OR
Gliptin + Sulfonylurea OR
Pioglitazone + Sulfonylurea
Metformin not tolerated and dual therapy ineffective
Insulin