Insulin for people with type 2 diabetes mellitus

What you need to knowExplain the role of the multidisciplinary team in supporting patients who are starting insulinBasal insulin is the most convenient initial insulin therapy, with an initial starting dose estimated on body weight (0.1-0.2 units/kg/day)Patients with an elevated HbA1c who are taking a basal insulin in combination with appropriate oral medication may require a prandial insulin, either in addition to basal insulin or converting to a pre-mixed insulin regimenEmphasise the importance of blood glucose monitoring to ensure safe use and titration of insulinA 55 year old woman with type 2 diabetes (T2DM) consults you at her annual diabetes review. Her HbA1c has increased to 90 mmol/mol (10.4%, target <53 mmol/mol or 7.0%) from 72 mmol/mol (8.7%). Since diagnosis at the age of 31, she has been taking oral diabetes medications including metformin, dapagliflozin, and gliclazide. Her current body mass index (BMI) is 26.0 kg/m2. She has expressed apprehension... Read Original Article: Insulin for people with type 2 diabetes mellitus »