Insulin Management

Insulin therapy is recommended for patients with type 2 diabetes mellitus and an initial A1C level greater than 9 percent, or if diabetes is uncontrolled despite optimal oral glycemic therapy. Insulin therapy may be initiated as augmentation, starting at 0.3 unit per kg, or as replacement, starting at 0.6 to 1.0 unit per kg. Glucose control, adverse effects, cost, adherence, and quality of life need to be considered when choosing therapy. Metformin should be continued if possible because it is proven to reduce all-cause mortality and cardiovascular events in overweight patients with diabetes. Titration of insulin over time is critical to improving glycemic control and preventing diabetes-related complications.

  • Diabetes and Insulin
  • Insulin Management of Type 2 Diabetes Mellitus
  • Insulin Therapy
  • Insulin with Oral Medications
  • Insulin Injection Technique
  • Types of insulin treat diabetes
  • Postprandial Hyperglycemia

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