Effective Use of Insulin in the Primary Care Practice: Insulin Therapy Initiation, Intensification, and the Utilization of Non-insulin Therapies with Insulin
For many decades, insulin has been a cornerstone in the treatment of diabetes with its well established role in glycemic control. Although the benefits of timely initiation and intensification of insulin therapy are understood, both patients and physicians are often reluctant to start or intensify insulin therapy. Insulin is often not initiated or intensified when A1C levels have not reached guideline-recommended levels leading to untreated hyperglycemia and increased risk for complications. However, the potential for increased risk of hypoglycemia and weight gain are major barriers to optimal insulin use. Although several strategies to minimize these complications exist, clinicians may be confused on how to use these strategies or may not completely understand why these would be beneficial. Thus, in this educational activity, the expert faculty will discuss the strategies pertaining to appropriate initiation and intensification of insulin therapy as well as the use of non-insulin therapies in patients on an insulin regimen while minimizing the risk of hypoglycemia and weight gain.
After completing this activity, the participant should be better able to:
- Initiate insulin promptly in patients with T2DM not at goal to achieve optimal glycemic control
- Intensify insulin therapy in patients with T2DM on basal insulin alone who are not at goal
- Manage patients on insulin-based therapies not at optimal goal with complimentary classes of non-insulin therapies to achieve optimal glycemic control
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Published August 12, 2014