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This article originally posted 26 September, 2011 and appeared in Special Edition - Insulin Initiation

Approach to Use of Insulin Chart (pdf)

Approach to Use of Insulin Chart (pdf)

Use this concise and informative chart to help guide your determination of when and how to initiate insulin in your patients. Just click on this link to download the Approach to Use of Insulin Chart (pdf).

If you're having trouble reading the document in pdf format, please see the chart below and click on the image.

Algorithm adapted from Pharmacist Letter, Nathan DM et al, and Nathan DM et al.

References:

Initiation and adjustment of Insulin Regimens for Type 2 Diabetes. Pharmacist’s Letter/ Prescriber’s Letter. Stockton, CA. November 2008; 24 (241101).
Nathan DM, Buse JB, Davidson MB, Ferrannini E, Holman RR, et al. Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of therapy. Diabetes Care. Jan 2009;32(1):193-203.
Nathan DM, Buse JB, Davidson MB, Heine RJ, Holman RR, et al. Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy. Diabetologia. 2006;49:1711-21.

* Created by Dave Joffe, BSPharm, CDE, FACA; Brandon Flohr; PharmD Candidate, Univ. of Florida; and Vanessa Cepero, PharmD Candidate, Univ. of Florida
* Please contact Steve Freed at Publisher@DiabetesInControl.com for permission to reprint and distribute.
Diabetes in Control is a medical e-newsletter dedicated to keeping clinicians current with the rapid changes in diabetes care. Complimentary professional subscriptions are available at www.diabetesincontrol.com.

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Early Use of Insulin to Improve Beta Cell Preservation

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This article originally posted 26 September, 2011 and appeared in Special Edition - Insulin Initiation

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