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Insulin titration  and intensification 2019

Insulin titration  and intensification

Mahshid Babaei

Endocrinologist

98.5.16

  • Given the progressive nature of this disease, characterized by gradual impairment in β-cell function and loss of β-cell mass, most patients with type 2 diabetes will eventually require insulin therapy to achieve a goal A1C of < 7%.
  • Approximately 30% of PCPs never/rarely intensify insulin therapy versus 4% of specialists; the reason may be lack of experience or lack of time to educate people .

Agenda

  • Insulin types
  • Insulin regimens
  • Basal insulin
  • Basal-bolus insulin
  • premix