| Topic: | Diabetes (DM) |
| Title: | Insulin and Type 2 Diabetes Management. |
| Author: | Carey, R.E. |
| Source: | Today's Dietitian. 7(9): 19-20. September 2005. |
| Abstract: | This article reviews the use of insulin in the management of type 2 diabetes. Recent research has established the importance of intensive blood glucose control in reducing diabetes-related morbidity and mortality. The author notes that aggressive treatment with oral medications and the early introduction of insulin therapy may improve metabolic outcomes and reduce hyperglycemia-associated morbidity in people with type 2 diabetes. The author explains the pathophysiology of type 2 diabetes and the indications for drug therapy, primarily when medical nutrition therapy (MNT) and physical activity fail to maintain blood glucose levels within healthy guidelines. When multiple oral agents fail to achieve metabolic control, insulin is added to the treatment regimen. The author reviews some of the studies that indicate the benefits of early intervention with insulin. A final section discusses the resistance to initiating insulin therapy that is often encountered in patients with type 2 diabetes. |
| Format: | Journal Article |
| Language: | English. |
| Major Keywords: | Diabetes Mellitus. Type 2 Diabetes. Insulin. Patient Selection. Drug Therapy. Hyperglycemia. |
| Minor Keywords: | Complications. Prevention. Pathophysiology. Insulin Administration. Metabolism. Diet Therapy. Drug Effects. Administration and Dosage. |
| Publication Number: | DMJA12459. |
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