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ISSN: 1505-8409
Przewodnik Lekarza/Guide for GPs
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2/2009
vol. 12
 
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abstract:

A new approach to insulin therapy in type 2 diabetics

Zofia Szczeklik-Kumala
,
Anna Czech
,
Małgorzata Bernas

Przew Lek 2009; 2: 42-47
Online publish date: 2009/07/21
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In the article insulin therapy in type 2 diabetics is described. Every case of badly controlled diabetes type 2 should be individually assessed. It is necessary to confirm the presence of hyperglycaemia at least a few times. Insulin therapy should be considered in type 2 diabetics with a level of glycated haemoglobin HbA1c over 7% ineffectively treated with oral hypoglycaemic agents, provided that potentially removable causes of hyperglycaemia are absent. The article contains the indications for permanent and periodic insulin therapy. Attention was paid to the fears of patients related to insulin therapy. Usually the fears are psycho-emotional in character. The algorithms of conventional and intensive insulin therapy are discussed in detail.
keywords:

diabetes mellitus type 2, insulin, therapy

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