Insulin initiation: Bringing objectivity to choice

被引:13
作者
Kalra S. [1 ]
Gupta Y. [2 ]
机构
[1] Bharti Hospital, Kunjpura Road, Karnal, Haryana
[2] Department of Medicine, Government Medical College and Hospital, Sector 32, Chandigarh
关键词
Basal insulin; Basal-bolus insulin; Diabetes; Insulin; Intensive insulin; Prandial insulin; Premixed insulin;
D O I
10.1186/s40200-015-0146-1
中图分类号
学科分类号
摘要
The choice of initial insulin is often dictated by subjective criteria: the " severity" of diabetes, the ability of the person with diabetes to self inject, at specific times of the day, and the physician's personal experience. No objective criteria have been evolved by any expert body so far to help guide clinicians make an appropriate, and accurate, choice of initiating insulin. Neither have large studies been able to shed light on the preferred type of insulin regime for a particular individual.This communication suggests various objective parameters which may be used to inform this decision. © 2015 Kalra and Gupta.
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