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Insulin therapy in diabetes

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

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.

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