insulin therapy in diabetes
Last edited 02/2022
Insulin therapy is required by:
- type I insulin-dependent diabetics
- insulin-treated non-insulin-dependent diabetics:
- type II diabetes patients who are not controlled on diet and oral medication
- type II diabetes patients with diabetic complications
- type II diabetes patients with an expectation of developing serious complications
- diabetics with raised glucose in the context of a myocardial infarction - the evidence for this is controversial
Insulin therapy must be titrated against diet and exercise to produce acceptable glycaemic control.
Insulin is available in a number of preparations with different pharmacokinetic properties and the daily insulin dose can therefore be given in a number of regimens, tailored on an individual basis to age, lifestyle, intelligence etc.
insulin regimens in insulin-dependent diabetes mellitus
insulin therapy (switching to in type 2 diabetics)
NICE guidance - choice of insulin therapy in type 2 diabetes