When a patient is suffering from DM and HT of a severe level usually the reduction of blood sugar and BP is attempted in a faster way. At times this quick reduction to normal level produces unwanted effects in the form of hypoglycemic symptoms as well as giddiness due to BP reduction. So, it is ideal to reduce blood sugar and BP reduction in a step ladder pattern. This will prevent unwanted side effects to the patient out of treatment.
This is especially applicable to OPD patients. This will prevent bad impression about the treatment. What are your views on Step ladder method?
