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JOURNAL ARTICLE
RESEARCH SUPPORT, NON-U.S. GOV'T
Type 2 diabetes - controlling hyperglycaemia with early insulin use.
Australian Family Physician 2010 August
BACKGROUND: Many patients with type 2 diabetes need to progress to insulin use when oral glucose lowering therapies fail to maintain adequate glycaemic control.
OBJECTIVE: To suggest when and how to initiate insulin therapy for patients with type 2 diabetes in the primary care setting.
DISCUSSION: In general, initiation of insulin should be considered in individuals on maximal tolerated doses of metformin and sulfonylureas with HbA1c levels >7.0% over a 3-6 month period. Current Australian guidelines recommend initiating insulin therapy as once daily basal therapy or as premixed insulins.
OBJECTIVE: To suggest when and how to initiate insulin therapy for patients with type 2 diabetes in the primary care setting.
DISCUSSION: In general, initiation of insulin should be considered in individuals on maximal tolerated doses of metformin and sulfonylureas with HbA1c levels >7.0% over a 3-6 month period. Current Australian guidelines recommend initiating insulin therapy as once daily basal therapy or as premixed insulins.
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