How to Choose a Basal Insulin

Bismillah, alhamdulillah: 

Some very simple, short and to the point tips on the choice of basal insulins in this podcast. My take home message:

NPH has a peak at 6 hours, hence good for people who have high sugars at dawn but are relatively okay for the rest of the day. If you use a longer acting insulin they are likely to get hypos at the end of the day.

NPH works best for steroid induced hyperglycemia because the peak onset – at least for prednisone – matches the peak onset of NPH. 

More than 50 units of insulins like Glargine & Determir can have problems in absorption due to the large volume needed for injection. Hence splitting the dose is an option.

We now have 40 hour basal insulins!

Have a listen…

How to Choose a Basal Insulin
Medscape Diabetes & Endocrinology Podcast
Duration: 09:11
Published: Mon, 12 Dec 2016 16:35:48 EST

So many choices! A diabetes expert provides tips on selecting a basal insulin for a patient with diabetes.

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