Journal article

Insulin intensification for people with type 2 diabetes: A practical approach

G Fulcher, S Colagiuri, P Phillips, J Prins, A Sinha, S Twigg, B Dalton

Australasian Medical Journal | Published : 2010


Background: Type 2 diabetes is a progressive disorder and with time, it is appropriate for insulin therapy to be initiated in the majority of people. Insulin is commonly initiated with once-daily basal insulin. However, when glycaemic control becomes unsatisfactory despite the introduction of basal insulin, no clear guidelines exist for intensifying the insulin regimen. In this article we aim to provide a clinician's approach to both the optimisation of the basal insulin dose, and strategies to intensify insulin therapy. Methods: An expert consensus panel, consisting of the authors, was convened to review the current practice of insulin intensification in people with type 2 diabetes and to d..

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