Starting Insulin Therapy in Elderly Patients

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Starting insulin therapy for type-2 diabetes.

Controlling blood glucose level for diabetic patients can be accomplished by using several methods, such as life style modification, oral medication, and insulin. Many physicians are still hesitant to administer insulin. A great deal of this hesitancy is caused by lack of knowledge on how to practically giving insulin. If administrated correctly, insulin is one of means that effectively control...

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Although the efficacy of continuous subcutaneous insulin infusion (CSII) has been proven, there are few data about its use in elderly patients. Previous studies of CSII use in elderly patients have shown an improvement in glycemic control and severe hypoglycemia (SH) rates. Impaired awareness of hypoglycemia (IAH), a major risk factor for SH, increases with age and duration of diabetes, with ov...

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Starting insulin therapy in type 2 diabetic patients: does it really matter how?

T ype 2 diabetic patients failing oral antidiabetes medications need insulin. If used appropriately and with patient cooperation, almost all patients can be well controlled. There is no agreed upon optimal mode of initiating insulin in this situation. In recent years, adding NPH insulin at bedtime (1–3) or 70/30 premixed insulin at suppertime (4) to the oral medications have been studied. Addin...

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Narrative review: a rational approach to starting insulin therapy.

BACKGROUND The emergence of multiple insulin products has provided new opportunities to achieve diabetes control. However, the number of options has raised concerns about the optimal choices of products. PURPOSE To briefly review the pharmacologic characteristics of currently available insulin products and to suggest an initial insulin regimen based on common blood glucose profiles among pati...

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ژورنال

عنوان ژورنال: Journal of the Royal Society of Medicine

سال: 2002

ISSN: 0141-0768,1758-1095

DOI: 10.1177/014107680209500908