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- Richard MacIsaac, Ada Cheung, and George Jerums.
- University of Melbourne, Victoria. r.macisaac@unimelb.edu.au
- Aust Fam Physician. 2010 Aug 1; 39 (8): 565-9.
BackgroundMany patients with type 2 diabetes need to progress to insulin use when oral glucose lowering therapies fail to maintain adequate glycaemic control.ObjectiveTo suggest when and how to initiate insulin therapy for patients with type 2 diabetes in the primary care setting.DiscussionIn general, initiation of insulin should be considered in individuals on maximal tolerated doses of metformin and sulfonylureas with HbA1c levels >7.0% over a 3-6 month period. Current Australian guidelines recommend initiating insulin therapy as once daily basal therapy or as premixed insulins.
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