Practical guidance on the initiation, titration, and switching of basal insulins: a narrative review for primary care.

ABSTRACT: Many patients with type 2 diabetes will ultimately require the inclusion of basal insulin in their treatment regimen. Since most people with type 2 diabetes are managed in the community, it is important that primary care providers understand and correctly manage the initiation and titration of basal insulins, and help patients to self-manage insulin injections. Newer, long-acting basal insulins provide greater stability and flexibility than older preparations and improved delivery systems. Basal insulin is usually initiated at a conservative dose of 10 units/day or 0.1-0.2 units/kg/day, then titrated thereafter over several weeks or months, based on patients' self-measured fasting plasma glucose, to achieve an individualized target (usually 80-130 mg/dL). Through a shared decision-making p

SUBMITTER: Mehta R 

PROVIDER: S-EPMC8231382 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature