Initiation and adjustment of insulin regimens in type 2 diabetes mellitus
Initiation and adjustment of insulin regimens in type 2 diabetes mellitus
Insulin regimens should be designed taking lifestyle and meal schedule into account. The algorithm can only provide basic guidelines for initiation and adjustment of insulin. Many different approaches are possible.
A1C: glycated hemoglobin. * Glucose levels updated with data from: American Diabetes Association. Glycemic Targets. Diabetes Care 2016; 39 Suppl 1:S39. ¶ The A1C goal should be individualized in accordance with patient age, comorbidities, and life expectancy. Δ Premixed insulins are not recommended during adjustment of doses; however, they can be used conveniently, usually before breakfast and/or dinner if proportion of rapid-acting and intermediate-acting insulins is similar to the fixed proportions available.
