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
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.
Subscribe to this podcast: http://www.medscape.com/cx/podcast/5687.xml