Document Detail


Type 2 diabetes - controlling hyperglycaemia with early insulin use.
MedLine Citation:
PMID:  20877750     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Many patients with type 2 diabetes need to progress to insulin use when oral glucose lowering therapies fail to maintain adequate glycaemic control.
OBJECTIVE: To suggest when and how to initiate insulin therapy for patients with type 2 diabetes in the primary care setting.
DISCUSSION: In general, initiation of insulin should be considered in individuals on maximal tolerated doses of metformin and sulfonylureas with HbA1c levels >7.0% over a 3-6 month period. Current Australian guidelines recommend initiating insulin therapy as once daily basal therapy or as premixed insulins.
Authors:
Richard MacIsaac; Ada Cheung; George Jerums
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Australian family physician     Volume:  39     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-09-29     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  565-9     Citation Subset:  IM    
Affiliation:
University of Melbourne, Victoria. r.macisaac@unimelb.edu.au
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MeSH Terms
Descriptor/Qualifier:
Australia
Blood Glucose / drug effects
Diabetes Mellitus, Type 2 / drug therapy*
Humans
Hyperglycemia / drug therapy*
Hypoglycemic Agents / administration & dosage*,  therapeutic use
Insulin / administration & dosage*,  therapeutic use
Practice Guidelines as Topic
Thiazolidinediones / therapeutic use
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Hypoglycemic Agents; 0/Thiazolidinediones; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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