Insulin Therapy Center

A man 79 years of age was referred to me to start insulin. As a diabetes educator, I don't always have a full history and comprehensive labs given to me from the PCP. I met the patient and his family who told me his history, medications, lifestyle, etc....

Glargine and degludec had similar glycemic control with some differences in pharmacokinetics (PK) and pharmacodynamics (PD). 

I have a patient I introduced to using Lantus insulin (including why, injection technique, storage, etc.). She would then see her family doctor, get the prescription and return the next week to review titration and any new questions before she started. I saw her a week later at our supervised diabetes walking group. She reported that she had started using the insulin three days prior and started at ten units and stated she was now 20 units! (She had only had two doses). 

An oral medication that does not increase risk of low blood sugar could provide an alternative to insulin. 

The future of measuring and controlling postprandial glucose using TIR (Time in Range).

Technology and unique rapid-acting insulin can improve time in range and Quality of Life for patients with diabetes. 

The end to every day insulin use may be in sight. 

Have the challenges of creating an effective oral insulin finally been overcome?

Recently I assessed an 84-year-old inpatient with diabetes for his insulin usage at home. In reporting his dosing, he stated that after he checked his glucose before each meal, he took the "first two numbers of the result," and made his dosage for meal-time insulin....

I recently had a home care patient who had been discharged from a skilled nursing facility with a prescription for regular insulin, and who was put on a sliding scale dosage. The patient was experiencing hypoglycemic reactions....