The American Journal of Medicine
Volume 121, Issue 6, Supplement , Pages S30-S34, June 2008

Intensifying Treatment in Poorly Controlled Type 2 Diabetes Mellitus: Case Reports

  • Joseph Tibaldi, MD

      Affiliations

    • Corresponding Author InformationRequests for reprints should be addressed to Joseph Tibaldi, MD, Queens Diabetes and Endocrinology Associates, 59-45 161 Street, Flushing, New York 11365, USA.

Department of Endocrinology, Flushing Hospital Medical Center, Flushing, New York, USA

Abstract 

There is no single correct treatment option for all patients with type 2 diabetes mellitus. Duration of diabetes and stage of the disease, level of control, lifestyle habits, and attitude toward disease management all affect the choice of treatment for any given individual. Indeed, the above factors should be especially considered when considering initiating insulin therapy in these patients. Basal insulin and premixed insulin remain the most common formulations used when initiating insulin in patients with type 2 diabetes and, as demonstrated in this article, both of these insulin strategies can be effective in controlling hyperglycemia when therapy is individualized to the patient.

Keywords: Control, Hyperglycemia, Treatment Intensification, Type 2 Diabetes

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 Statement of author disclosure: Please see the Author Disclosures section at the end of this article.

PII: S0002-9343(08)00311-2

doi:10.1016/j.amjmed.2008.03.024

The American Journal of Medicine
Volume 121, Issue 6, Supplement , Pages S30-S34, June 2008