Document Detail


Intensifying treatment of type 2 diabetes mellitus: adding insulin.
MedLine Citation:
PMID:  22122223     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract Treatment for patients with type 2 diabetes mellitus is typically initiated with a combination of lifestyle modification and oral drugs. This treatment provides sustained glycemic control in some patients, but many others require administration of insulin as their disease progresses and pancreatic β cells are lost. One of the most important points in long-term care for patients with type 2 diabetes is the transition to insulin therapy. Health care professionals must choose the most appropriate insulin preparations for management of patients with type 2 diabetes who cannot achieve treatment goals by using other therapies. These include basal, premixed, and basal-bolus insulin regimens. In addition, there are multiple approaches to initiation of insulin treatment, including addition of basal insulin to oral drugs, switching patients to a premixed insulin formulation, or basal-bolus treatment. The pharmacist can play a key role in the transition to insulin therapy by providing education and assisting in day-to-day management of patients with type 2 diabetes who require insulin for intensification of treatment.
Authors:
Kyle R Peters
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pharmacotherapy     Volume:  31     ISSN:  1875-9114     ISO Abbreviation:  Pharmacotherapy     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8111305     Medline TA:  Pharmacotherapy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  54S-64S     Citation Subset:  IM    
Affiliation:
1 Siouxland Community Health Center, Sioux City, Iowa, and the University of Nebraska Medical Center College of Pharmacy, Omaha, Nebraska.
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