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Practical considerations when initiating insulin

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Patients with type 2 diabetes Patients with type 2 diabetes should be told that insulin is often inevitable for best management of their condition

The UK Prospective Diabetes Survey (UKPDS) demonstrated that type 2 diabetes is characterised by declining beta cell function. Achieving optimum glycaemic control becomes increasingly difficult over time and insulin continues to be the one glucose-lowering therapy that can maintain glycaemic control despite this progression.1

The aim of insulin and drug treatment for diabetes is to achieve optimum glycaemic control without frequent or severe hyperglycaemia or hypoglycaemia.

Since initiation of insulin in type 1 diabetes is essential, this article will focus on initiation of insulin in people with type 2 diabetes.

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