Role of Insulin Analogs in Type 2 Diabetes References

Size: px
Start display at page:

Download "Role of Insulin Analogs in Type 2 Diabetes References"

Transcription

1 1. American Association of Clinical Endocrinologists/American College of Endocrinology Diabetes Recommendations Implementation Writing Committee. ACE/AACE Consensus conference on the implementation of outpatient management of diabetes mellitus: consensus conference recommendations. Endocr Pract. 2006;12:(Suppl 1): American Association of Clinical Endocrinologists. Medical guidelines for clinical practice for the diagnosis and treatment of dyslipidemia and prevention of atherogenesis. Endocr Pract. 2000;6: American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33(Suppl 1): S62 S American Diabetes Association. Estimated average glucose, eag. Available at: Accessed December 16, American Diabetes Association. Standards of medical care in diabetes Diabetes Care. 2010;33(Suppl 1):S11 S Apidra (insulin glulisine [rdna origin] injection) solution for injection. Prescribing information. Bridgewater, NJ: sanofi-aventis U.S. LLC; Bardsley JK, Ratner RE. Pathophysiology of the metabolic disorder. In: Mensing C, ed: The Art and Science of Diabetes Self-Management Education. Chicago, Ill: American Association of Diabetes Educators; 2006: Bergenstal RM, Kendall DM, Franz MJ, et al. Management of type 2 diabetes: a systematic approach to meeting standards of care. II: Oral agents, insulin and management of complications. In: DeGroot, LJ, Jameson JL, eds. Endocrinology. 4th ed. Philadelphia, Pa: WB Saunders Co; 2001: Blonde L, Merilainen M, Karwe V, et al; TITRATE Study Group. Patient-directed titration for achieving glycaemic goals using a once-daily basal insulin analogue: an assessment of two different fasting plasma glucose targets the TITRATE Study. Diabetes Obes Metab. 2009;11: Buse JB, Wolffenbuttel BHR, Herman WH, et al. DURAbility of basal versus lispro mix 75/25 insulin efficacy (DURABLE) trial 24-week results: safety and efficacy of insulin lispro mix 75/25 versus insulin glargine added to oral antihyperglycemic drugs in patients with type 2 diabetes. Diabetes Care. 2009;32: Centers for Disease Control and Prevention. Division of Diabetes Translation. National Diabetes Surveillance System. Atlanta, Ga: Centers for Disease Control and Prevention; Available at: Accessed December 15, 2009.

2 12. Centers for Disease Control and Prevention. National Diabetes Fact Sheet, Atlanta, Ga: Centers for Disease Control and Prevention; Available at: Accessed December 15, Centers for Disease Control and Prevention. State-specific incidence of diabetes among adults participating states, and MMWR. 2008;57: Cryer PE, Davis SN, Shamoon H. Hypoglycemia in diabetes. Diabetes Care 2003;26: Foulis AK, Clark A. Pathology of the pancreas in diabetes mellitus. In: Kahn DR, Weir GC, eds. Joslin s Diabetes Mellitus. 13th ed. Philadelphia, Pa: Lea & Febiger;1994: Garber AJ, Wahlen J, Wahl T, et al. Attainment of glycemic goals in type 2 diabetes with once-, twice-, or thrice-daily dosing with biphasic insulin aspart 70/30 (The study). Diabetes Obes Metab. 2006;8: Gavin JR III. Practical approaches to insulin therapy. Diabetes Educ. 2007;33(Suppl 3):66S 73S. 18. Hermansen K, Davies M, Derezinski T, et al ; on Behalf of the Levemir Treat-to-Target Study Group. A 26-week, randomized, parallel, treat-to-target trial comparing insulin detemir with NPH insulin as add-on therapy to oral glucose-lowering drugs in insulin-naïve people with type 2 diabetes. Diabetes Care. 2006;29: Heine RJ, Van Gaal LF, Johns D, et al. Exenatide versus insulin glargine in patients with suboptimally controlled type 2 diabetes. Ann Intern Med. 2005;143: Hirsch IB, Bergenstal RM, Parkin CG, et al. A real-world approach to insulin therapy in primary care practice. Clin Diabetes. 2005;23: Hoerger TJ, Segel JE, Gregg EW, et al. Is glycemic control improving in U.S. adults? Diabetes Care. 2008;31: Holman RR, Farmer AJ, Davies MJ, et al; 4-T Study Group. Three-year efficacy of complex insulin regimens in type 2 diabetes. N Engl J Med. 2009;361: Humalog Mix50/50 (50% insulin lispro protamine suspension and 50% insulin lispro injection [rdna origin]). Prescribing information. Indianapolis, Ind: Eli Lilly and Company; Humulin N (NPH, human insulin [rdna origin] isophane suspension). Prescribing information. Indianapolis, Ind: Eli Lilly and Company; Kazlauskaite R, Fogelfeld L. Insulin therapy in type 2 diabetes. Dis Mon. 2003;49: Kilpatrick ES, Rigby AS, Atkin SL. Insulin resistance, the metabolic syndrome, and complication risk in type 1 diabetes. Diabetes Care. 2007;30:

3 27. Korytkowski M. When oral agents fail: Practical barriers to starting insulin. Int J Obes Relat Metab Disord. 2002;26(Suppl 3):S18 S Lantus (insulin glargine [rdna origin] injection). Prescribing information. Bridgewater, NJ: sanofi-aventis U.S. LLC; Lebovitz HE. Diagnosis and classification of diabetes mellitus. In: Lebovitz HE, ed. Therapy for Diabetes Mellitus and Related Disorders. 4th ed. Alexandria, Va: American Diabetes Association; 2004: Lepore M, Pampanelli S, Fanelli C, et al. Pharmacokinetics and pharmacodynamics of subcutaneous injection of long-acting human insulin analog glargine, NPH insulin, and ultralente human insulin and continuous subcutaneous infusion of insulin lispro. Diabetes. 2000;49: Levemir (insulin detemir [rdna origin] injection). Prescribing information. Princeton, NJ: Novo Nordisk Inc.; Lingvay I, Legendre JL, Kaloyanova PF, et al. Insulin-based versus triple oral therapy for newly diagnosed type 2 diabetes: which is better. Diabetes Care. 2009;32: Malone JK, Kerr LF, Campaigne BN, et al. Combined therapy with insulin lispro mix 75/25 plus metformin or insulin glargine plus metformin: a 16-week, randomized, open-label, crossover study in patients with type 2 diabetes beginning insulin therapy. Clin Ther. 2004;26: Nathan DM, Buse JB, Davidson MB, et al. Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy. A consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2009;32: Nathan DM, Kuenen J, Borg R, et al. Translating the A1C assay into estimated average glucose values. Diabetes Care. 2008;31: Novolin N (NPH, human insulin isophane suspension [rdna origin]). Prescribing information. Princeton, NJ; Novo Nordisk Inc.; Pearson J, Powers MA. Systematically initiating insulin: the staged diabetes management approach. Diabetes Educ. 2006;32(Suppl):19S 28S. 38. Peragallo-Dittko V. Removing barriers to insulin therapy. Diabetes Educ. 2007;33:60S 65S. 39. Peyrot M, Mathews DR, Snoek FJ, et al. An international study of psychological resistance to insulin among persons with diabetes. Diabetologia. 2003;46(Suppl 2):A Peyrot M, Rubin RR, Lauritzen T, et al. Resistance to insulin therapy among patients and providers. Diabetes Care. 2005;28:

4 41. Phillips P. Type 2 diabetes failure, blame and guilt in the adoption of insulin therapy. Rev. Diabet Stud. 2005;2: Polonsky WH, Fisher L, Guzman S, et al. Psychological insulin resistance in patients with type 2 diabetes. Diabetes Care. 2005;28: Polonsky WH, Jackson RA. What s so tough about taking insulin? Addressing the problem of psychological insulin resistance in type 2 diabetes. Clin Diabetes. 2004;22: Raskin P, Allen E, Hollander P, et al; for the INITIATE Study Group. Initiating insulin therapy in type 2 diabetes: a comparison of biphasic and basal insulin analogs. Diabetes Care. 2005;28: Ratner R. Insulin delivery systems and the management of diabetes. Pract Diabetol. 2004;23: Raz I, Wilson PWF, Strojek K, et al. Effects of prandial versus fasting glycemia on cardiovascular outcomes in type 2 diabetes: the HEART2D trial. Diabetes Care. 2009;32: Riddle MC, Rosenstock J, Gerich J; on Behalf of the Insulin Glargine 4002 Study Investigators. The Treat-to-Target Trial: randomized addition of glargine or human NPH insulin to oral therapy of type 2 diabetic patients. Diabetes Care. 2003;26: Robertson C. Physiologic insulin replacement in type 2 diabetes: Optimizing postprandial glucose control. Diabetes Educator. 2006;32: Rodbard HW, Jellinger PS, Davidson JA, et al. Statement by an American Association of Clinical Endocrinologists/American College of Endocrinology consensus panel on type 2 diabetes mellitus: an algorithm for glycemic control. Endocr Pract. 2009;15: Russell-Jones D. Molecular, pharmacological and clinical aspects of liraglutide, a once-daily human GLP-1 analogue. Mol Cell Endocrinol. 2009;297: Sanofi-aventis. Clinical trial summary: NCT Target glycemic control and the incidence of documented symptomatic hypoglycemia in insulin naïve subjects with type 2 diabetes failing on oral hypoglycemic agent(s) and treated with Lantus (insulin glargine) or Levemir (insulin detemir): a multicenter, multinational, randomized, open-label, comparative, parallel-group study. Available at: Accessed January 27, Skyler JS. Insulin treatment. In: Lebovitz HE, ed. Therapy for Diabetes Mellitus and Related Disorders. Alexandria, Va: American Diabetes Association; 2004: Steil CF. Pharmacologic therapies for glucose management. In: Mensing C, ed. The Art and Science of Diabetes Self-Management Education. Chicago, Ill: American Association of Diabetes Educators; 2006:

5 54. Swinnen SG, Snoek FJ, Dain MP, et al. Rationale, design, and baseline data of the insulin glargine (Lantus) versus insulin detemir (Levemir) treat-to-target (L2T3) study: a multinational, randomized noninferiority trial of basal insulin initiation in type 2 diabetes. Diabetes Technol Ther. 2009;11: Thorn LM, Forsblom C, Fagerudd J, et al. Metabolic syndrome in type 1 diabetes: association with diabetic nephropathy and glycemic control (the FinnDiane study). Diabetes Care. 2005;28: Tomky DM, Kulkarni K. Intensifying insulin therapy: multiple daily injections to pump therapy. In: Mensing C, ed. The Art and Science of Diabetes Self-Management Education. Chicago, Ill: American Association of Diabetes Educators; 2006: Welchol (colesevelam hydrochloride). Prescribing information. Parsippany, NJ: Daiichi Sankyo, Inc.; 2009.

Initiation and Adjustment of Insulin Regimens for Type 2 Diabetes

Initiation and Adjustment of Insulin Regimens for Type 2 Diabetes PL Detail-Document #300128 This Detail-Document accompanies the related article published in PHARMACIST S LETTER / PRESCRIBER S LETTER January 2014 Initiation and Adjustment of Insulin Regimens for Type

More information

Present and Future of Insulin Therapy: Research Rationale for New Insulins

Present and Future of Insulin Therapy: Research Rationale for New Insulins Present and Future of Insulin Therapy: Research Rationale for New Insulins Current insulin analogues represent an important advance over human insulins, but clinically important limitations of these agents

More information

Diabetes Medications: Insulin Therapy

Diabetes Medications: Insulin Therapy Diabetes Medications: Insulin Therapy Courtesy Univ Texas San Antonio Eric L. Johnson, M.D. Department of Family and Community Medicine Diabetes and Insulin Type 1 Diabetes Autoimmune destruction of beta

More information

Type 2 Diabetes Adult Outpatient Insulin Guidelines Sutter Medical Foundation. February 2011.

Type 2 Diabetes Adult Outpatient Insulin Guidelines Sutter Medical Foundation. February 2011. Type 2 Diabetes Adult Outpatient Insulin Guidelines. GENERAL RECOMMENDATIONS Start insulin if A1C and glucose levels are above goal despite optimal use of other diabetes medications. (Consider insulin

More information

Prior Authorization Guideline

Prior Authorization Guideline Prior Authorization Guideline Guideline: PC - Apidra, Levemir Therapeutic Class: Hormones and Synthetic Substitutes Therapeutic Sub-Class: Antidiabetic Agents Client: CA, CO, NV, OK, OR, WA and AZ Approval

More information

Diabetes Treatment in a New Era: When to Begin Insulin and How to deliver it.

Diabetes Treatment in a New Era: When to Begin Insulin and How to deliver it. Diabetes Treatment in a New Era: When to Begin Insulin and How to deliver it. Objectives 1. Briefly review the evolution of insulin therapy. 2. Identify the types of insulin currently available for treatment

More information

Intensive Insulin Therapy in Diabetes Management

Intensive Insulin Therapy in Diabetes Management Intensive Insulin Therapy in Diabetes Management Lillian F. Lien, MD Medical Director, Duke Inpatient Diabetes Management Assistant Professor of Medicine Division of Endocrinology, Metabolism, & Nutrition

More information

IMPROVED METABOLIC CONTROL WITH A FAVORABLE WEIGHT PROFILE IN PATIENTS WITH TYPE 2 DIABETES TREATED WITH INSULIN GLARGINE (LANTUS ) IN CLINICAL

IMPROVED METABOLIC CONTROL WITH A FAVORABLE WEIGHT PROFILE IN PATIENTS WITH TYPE 2 DIABETES TREATED WITH INSULIN GLARGINE (LANTUS ) IN CLINICAL 464 IMPROVED METABOLIC CONTROL WITH A FAVORABLE WEIGHT PROFILE IN PATIENTS WITH TYPE 2 DIABETES TREATED WITH INSULIN GLARGINE (LANTUS ) IN CLINICAL PRACTICE STEPHAN A SCHREIBER AND ANIKA RUßMAN ABSTRACT

More information

second of a two-article series. The first, Clinical Considerations for Insulin

second of a two-article series. The first, Clinical Considerations for Insulin Navid Saadat, MD Clinical Considerations for Insulin Pharmacotherapy in Ambulatory Care, Part Two: Review of Primary Literature and an Evidence-Based Approach for Treatment Maria Miller Thurston, 1 John

More information

Insulin Algorithm for Type 2 Diabetes Mellitus in Children and Adults

Insulin Algorithm for Type 2 Diabetes Mellitus in Children and Adults Insulin Algorithm for Type 2 Diabetes Mellitus in Children and Adults Stock # 45-11647 Revised 10/28/10 Glycemic Goals 1,2 Individualize goal based on patient risk factors A1c 6%

More information

INSULIN TREATMENT FOR TYPE 2 DIABETES MANAGEMENT

INSULIN TREATMENT FOR TYPE 2 DIABETES MANAGEMENT INSULIN TREATMENT FOR TYPE 2 DIABETES MANAGEMENT APIRADEE SRIWIJITKAMOL DIVISION OF ENDOCRINOLOGY AND METABOLISM DEPARTMENT OF MEDICINE FACULTY OF MEDICINE SIRIRAJ HOSPITOL QUESTION 1 1. ท านเคยเป นแพทย

More information

Starting patients on the V-Go Disposable Insulin Delivery Device

Starting patients on the V-Go Disposable Insulin Delivery Device Starting patients on the V-Go Disposable Insulin Delivery Device A simple guide for your practice For adult patients with Type 2 diabetes on basal insulin who need to take the next step Identify appropriate

More information

INSULIN AND INCRETIN THERAPIES: WHAT COMBINATIONS ARE RIGHT FOR YOUR PATIENT?

INSULIN AND INCRETIN THERAPIES: WHAT COMBINATIONS ARE RIGHT FOR YOUR PATIENT? INSULIN AND INCRETIN THERAPIES: WHAT COMBINATIONS ARE RIGHT FOR YOUR PATIENT? MARTHA M. BRINSKO, MSN, ANP-BC CHARLOTTE COMMUNITY HEALTH CLINIC CHARLOTTE, NC Diagnosed and undiagnosed diabetes in the United

More information

Insulin: Breaking Barriers Enhancing Therapies. Jerry Meece, RPh, FACA, CDE jmeece12@cooke.net

Insulin: Breaking Barriers Enhancing Therapies. Jerry Meece, RPh, FACA, CDE jmeece12@cooke.net Insulin: Breaking Barriers Enhancing Therapies Jerry Meece, RPh, FACA, CDE jmeece12@cooke.net Questions To Address Who are candidates for insulin? When do we start insulin? How do the different types of

More information

How To Initiate Insulin

How To Initiate Insulin Initiation and Titration of Insulin Analogs in the Patient with Type 2 Diabetes Supported by an educational grant from Novo Nordisk Inc. This program is supported by an educational grant from Novo Nordisk

More information

Diabetes and the Elimination of Sliding Scale Insulin. Date: April 30 th 2013. Presenter: Derek Sanders, D.Ph.

Diabetes and the Elimination of Sliding Scale Insulin. Date: April 30 th 2013. Presenter: Derek Sanders, D.Ph. Diabetes and the Elimination of Sliding Scale Insulin Date: April 30 th 2013 Presenter: Derek Sanders, D.Ph. Background Information Epidemiology and Risk Factors Diabetes Its Definition and Its Impact

More information

The prevalence of type 2 diabetes

The prevalence of type 2 diabetes Insulin Therapy for Management of Type 2 Diabetes Mellitus: Strategies for Initiation and Long-term Patient Adherence Steven H. Barag, DO Effective glycemic control is essential to minimize the long-term

More information

Intensifying Insulin In Type 2 Diabetes

Intensifying Insulin In Type 2 Diabetes Intensifying Insulin In Type 2 Diabetes Eric L. Johnson, M.D. Associate Professor Department of Family and Community Medicine University of North Dakota School of Medicine and Health Sciences Assistant

More information

Safety and Effectiveness of Modern Insulin Therapy: The Value of Insulin Analogs

Safety and Effectiveness of Modern Insulin Therapy: The Value of Insulin Analogs STEPHEN BRUNTON, MD Cabarrus Family Medicine Residency Program, Charlotte, NC Safety and Effectiveness of Modern Insulin Therapy: Dr Brunton is director of faculty development at the Cabarrus Family Medicine

More information

How to Switch Between Insulin Products

How to Switch Between Insulin Products Detail-Document #251005 This Detail-Document accompanies the related article published in PHARMACIST S LETTER / PRESCRIBER S LETTER October 2009 ~ Volume 25 ~ Number 251005 How to Switch Between Insulin

More information

The U.K. Prospective Diabetes Study

The U.K. Prospective Diabetes Study Clinical Care/Education/Nutrition O R I G I N A L A R T I C L E Improvement of Glycemic Control in Subjects With Poorly Controlled Type 2 Diabetes Comparison of two treatment algorithms using insulin glargine

More information

HEALTH SERVICES POLICY & PROCEDURE MANUAL

HEALTH SERVICES POLICY & PROCEDURE MANUAL Page 1 of 5 PURPOSE To assure that DOP inmates with Diabetes, who require insulin therapy, are receiving high quality Primary Care for their condition. POLICY All DOP Primary Care Providers are to follow

More information

The basal plus strategy. Denis Raccah, MD, PhD Professor of Medicine University Hospital Sainte Marguerite Marseille FRANCE

The basal plus strategy. Denis Raccah, MD, PhD Professor of Medicine University Hospital Sainte Marguerite Marseille FRANCE The basal plus strategy Denis Raccah, MD, PhD Professor of Medicine University Hospital Sainte Marguerite Marseille FRANCE ADA/EASD guidelines recommend use of basal insulin as early as the second step

More information

Presented By: Dr. Nadira Husein

Presented By: Dr. Nadira Husein Presented By: Dr. Nadira Husein I have no conflict of interest Disclosures I have received honoraria/educational grants from the following: Novo Nordisk, Eli Lilly, sanofi-aventis, Novartis, Astra Zeneca,

More information

Intensifying Insulin Therapy

Intensifying Insulin Therapy Intensifying Insulin Therapy Rick Hess, PharmD, CDE, BC-ADM Associate Professor Gatton College of Pharmacy, Department of Pharmacy Practice East Tennessee State University Johnson City, Tennessee Learning

More information

Diabetes: When To Treat With Insulin and Treatment Goals

Diabetes: When To Treat With Insulin and Treatment Goals Diabetes: When To Treat With Insulin and Treatment Goals Lanita. S. White, Pharm.D. Director, UAMS 12 th Street Health and Wellness Center Assistant Professor of Pharmacy Practice, UAMS College of Pharmacy

More information

Long-acting insulin analogues vs. NPH human insulin in type 1 diabetes. A meta-analysis

Long-acting insulin analogues vs. NPH human insulin in type 1 diabetes. A meta-analysis ORIGINAL ARTICLE doi: 10.1111/j.1463-1326.2008.00976.x Long-acting insulin analogues vs. NPH human insulin in type 1 diabetes. A meta-analysis M. Monami, N. Marchionni and E. Mannucci Unit of Geriatrics,

More information

Most patients with T2DM will eventually require insulin therapy. ADA Glycemic Control Targets. What are some of the obstacles?

Most patients with T2DM will eventually require insulin therapy. ADA Glycemic Control Targets. What are some of the obstacles? ADA Glycemic Control Targets A1C < 7% Preprandial plasma glucose 70-130 mg/dl Postprandial plasma glucose (PPG)

More information

Workshop A Tara Kadis

Workshop A Tara Kadis Workshop A Tara Kadis Considerations/barriers in decision making about insulin verses GLP-1 use in people with type 2 diabetes Which Insulin regimes should we consider? Diabetes is a progressive multi-system

More information

MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES

MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES MEDICAL ASSISTANCE HBOOK I. Requirements for Prior Authorization of Incretin Mimetic/Enhancer Hypoglycemics (formerly referred to as Other Hypoglycemics) A. Thresholds for Prior Authorization All prescriptions

More information

Insulin Therapy In Type 2 DM. Sources of support. Agenda. Michael Fischer, M.D., M.S. The underuse of insulin Insulin definition and types

Insulin Therapy In Type 2 DM. Sources of support. Agenda. Michael Fischer, M.D., M.S. The underuse of insulin Insulin definition and types Insulin Therapy In Type 2 DM Michael Fischer, M.D., M.S. Sources of support NaRCAD is supported by a grant from the Agency for Healthcare Research and Quality My current research projects are funded by

More information

Medical Policy An independent licensee of the Blue Cross Blue Shield Association

Medical Policy An independent licensee of the Blue Cross Blue Shield Association Afrezza Page 1 of 6 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Afrezza (human insulin) Prime Therapeutics will review Prior Authorization requests Prior Authorization

More information

Therapy Insulin Practical guide to Health Care Providers Quick Reference F Diabetes Mellitus in Type 2

Therapy Insulin Practical guide to Health Care Providers Quick Reference F Diabetes Mellitus in Type 2 Ministry of Health, Malaysia 2010 First published March 2011 Perkhidmatan Diabetes dan Endokrinologi Kementerian Kesihatan Malaysia Practical guide to Insulin Therapy in Type 2 Diabetes Mellitus Quick

More information

Insulin initiation in type 2

Insulin initiation in type 2 Earn 3 CPD Points online Insulin initiation in type 2 diabetes This text is derived from the insulin initiation video presentation by Dr Ted Wu and includes all relevant references Dr Ted Wu Staff Specialist,

More information

Using Insulin in Type 2 Diabetes: In Need of a Renaissance? Introduction. David Kerr, M.D., and Tolulope Olateju, M.B., B.S.

Using Insulin in Type 2 Diabetes: In Need of a Renaissance? Introduction. David Kerr, M.D., and Tolulope Olateju, M.B., B.S. Journal of Diabetes Science and Technology Volume 5, Issue 4, July 2011 Diabetes Technology Society EDITORIAL Using Insulin in Type 2 Diabetes: In Need of a Renaissance? David, M.D., and Tolulope Olateju,

More information

Insulin Initiation and Intensification

Insulin Initiation and Intensification Insulin Initiation and Intensification ANDREW S. RHINEHART, MD, FACP, CDE MEDICAL DIRECTOR AND DIABETOLOGIST JOHNSTON MEMORIAL DIABETES CARE CENTER Objectives Understand the pharmacodynamics and pharmacokinetics

More information

Second- and Third-Line Approaches for Type 2 Diabetes Workgroup: Topic Brief

Second- and Third-Line Approaches for Type 2 Diabetes Workgroup: Topic Brief Second- and Third-Line Approaches for Type 2 Diabetes Workgroup: Topic Brief March 7, 2016 Session Objective: The objective of this workshop is to assess the value of undertaking comparative effectiveness

More information

Evaluation of Dosing and Clinical Outcomes in Patients Undergoing Conversion of Insulin Glargine to Insulin Detemir

Evaluation of Dosing and Clinical Outcomes in Patients Undergoing Conversion of Insulin Glargine to Insulin Detemir Evaluation of Dosing and Clinical Outcomes in Patients Undergoing Conversion of Glargine to Detemir Ginelle A. Bryant, Pharm.D., Deanna L. McDanel, Pharm.D., Kathleen E. Horner, Pharm.D., Karen B. Farris,

More information

Starting Insulin. Disclosures. Starting Insulin. Ronnie Aronson MD, FRCPC, FACE Executive Director, LMC Endocrinology Centres

Starting Insulin. Disclosures. Starting Insulin. Ronnie Aronson MD, FRCPC, FACE Executive Director, LMC Endocrinology Centres Starting Insulin Ronnie Aronson MD, FRCPC, FACE Executive Director, LMC Endocrinology Centres Disclosures Scientific Consultant Abbott, AstraZeneca, GSK, Merck, Sanofi-Aventis, Janssen- Ortho, Servier

More information

SHORT CLINICAL GUIDELINE SCOPE

SHORT CLINICAL GUIDELINE SCOPE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SHORT CLINICAL GUIDELINE SCOPE 1 Guideline title Type 2 diabetes: newer agents for blood glucose control in type 2 diabetes 1.1 Short title Type 2

More information

A 1c Control in a Primary Care Setting: Self-titrating an Insulin Analog Pre-mix (INITIATEplus Trial)

A 1c Control in a Primary Care Setting: Self-titrating an Insulin Analog Pre-mix (INITIATEplus Trial) CLINICAL RESEARCH STUDY A 1c Control in a Primary Care Setting: Self-titrating an Insulin Analog Pre-mix (INITIATEplus Trial) David S. Oyer, MD, a Mark D. Shepherd, MD, b Franklin C. Coulter, MD, c Anuj

More information

Insulin myths and facts

Insulin myths and facts london medicines evaluation network Insulin myths and facts Statement 1 Insulin is the last resort for patients with Type 2 diabetes After initial metformin and sulfonylurea therapy, NICE and SIGN suggest

More information

Insulin initiation in type 2 diabetes: Experience and insights

Insulin initiation in type 2 diabetes: Experience and insights Insulin initiation in type 2 diabetes: Experience and insights Joan Everett A diagnosis of type 2 diabetes can be devastating for the individual and their family. Furthermore, many people with diabetes

More information

Diabetes Mellitus. Melissa Meredith M.D. Diabetes Mellitus

Diabetes Mellitus. Melissa Meredith M.D. Diabetes Mellitus Melissa Meredith M.D. Diabetes mellitus is a group of metabolic diseases characterized by high blood glucose resulting from defects in insulin secretion, insulin action, or both Diabetes is a chronic,

More information

Type 2 Diabetes - Pros and Cons of Insulin Administration

Type 2 Diabetes - Pros and Cons of Insulin Administration Do we need alternative routes of insulin administration (inhaled insulin) in Type 2 diabetes? Cons: Suad Efendic Karolinska Institutet, Sweden The Diabetes Management Situation Today Diabetes is a growing

More information

Global Guideline for Type 2 Diabetes

Global Guideline for Type 2 Diabetes INTERNATIONAL DIABETES FEDERATION, 2005 Clinical Guidelines Task Force Global Guideline for Type 2 Diabetes Chapter 10: Glucose control: insulin therapy Copyright All rights reserved. No part of this publication

More information

INSULIN INTENSIFICATION: Taking Care to the Next Level

INSULIN INTENSIFICATION: Taking Care to the Next Level INSULIN INTENSIFICATION: Taking Care to the Next Level By J. Robin Conway M.D., Diabetes Clinic, Smiths Falls, ON www.diabetesclinic.ca Type 2 Diabetes is an increasing problem in our society, due largely

More information

When and how to start insulin: strategies for success in type 2 diabetes

When and how to start insulin: strategies for success in type 2 diabetes 1 When and how to start insulin: strategies for success in type diabetes Treatment of type diabetes in 199: with each step treatment gets more complex Bruce H.R. Wolffenbuttel, MD PhD Professor of Endocrinology

More information

How to Switch Between Insulin Products

How to Switch Between Insulin Products Detail-Document #251005 This Detail-Document accompanies the related article published in PHARMACIST S LETTER / PRESCRIBER S LETTER October 2009 ~ Volume 25 ~ Number 251005 How to Switch Between Insulin

More information

Managing the risks of commencing insulin therapy for patients with type 2 diabetes

Managing the risks of commencing insulin therapy for patients with type 2 diabetes Managing the risks of commencing insulin therapy for patients with type 2 diabetes Laila King June 213 213 The Health Foundation Insulin is a remedy primarily for the wise, and not for the foolish, whether

More information

familiar, have inherent limitations in their ability to help patients reach recommended glycemic targets and comply

familiar, have inherent limitations in their ability to help patients reach recommended glycemic targets and comply New Therapeutic Options for Treating Type-2 Diabetes: A Review of Insulin Analogs and Premixed Insulin Analogs Charles Choe, MD and Steve Edelman, MD Financial support: Dr. Edelman is a consultant and

More information

Prior Authorization Guideline

Prior Authorization Guideline Prior Authorization Guideline Guideline: PC (CO) - Insulin Delivery Systems Therapeutic Class: Hormones and Synthetic Substitutes Therapeutic Sub-Class: Insulin Delivery Systems Client: CO Approval Date:

More information

Demonstrating strategies for initiation of insulin therapy: matching the right insulin to the right patient

Demonstrating strategies for initiation of insulin therapy: matching the right insulin to the right patient REVIEW ARTICLE Demonstrating strategies for initiation of insulin therapy: matching the right insulin to the right patient L. Meneghini doi: 10.1111/j.1742-1241.2008.01816.x SUMMARY Aims: To increase awareness

More information

Diabetes affects 25.8 million people in the United

Diabetes affects 25.8 million people in the United Insulin Therapy in Type 2 Diabetes Mellitus: A Practical Approach for Primary Care Physicians and Other Health Care Professionals James R. LaSalle, DO Rachele Berria, MD, PhD From the Medical Arts Research

More information

Intensifying insulin therapy in patients with type 2 diabetes mellitus

Intensifying insulin therapy in patients with type 2 diabetes mellitus The American Journal of Medicine (2005) Vol 118 (5A), 21S 26S Intensifying insulin therapy in patients with type 2 diabetes mellitus Irl B. Hirsch, MD From the Diabetes Care Center, Division of Endocrinology,

More information

How To Treat Type 2 Diabetes With Insulin

How To Treat Type 2 Diabetes With Insulin Basal Insulin Therapy in Type 2 Diabetes M. Angelyn Bethel, MD, and Mark N. Feinglos, MD Patients with type 2 diabetes mellitus are usually treated initially with oral antidiabetic agents, but as the disease

More information

The first injection of insulin was given on

The first injection of insulin was given on EFFECTIVE USE OF INSULIN THERAPY IN TYPE 2 DIABETES * Bernard Zinman, MDCM ABSTRACT Type 2 diabetes is a progressive disease; an individual s ability to secrete insulin in increasing amounts to overcome

More information

People with type 2 diabetes mellitus (T2DM) often require

People with type 2 diabetes mellitus (T2DM) often require DIABETES TECHNOLOGY & THERAPEUTICS Volume 12, Supplement 1, 2010 ª Mary Ann Liebert, Inc. DOI: 10.1089=dia.2009.0192 Insulin Pump Use in Type 2 Diabetes Bruce W. Bode, M.D., F.A.C.E. Abstract Continuous

More information

Insulin Therapy. Endocrinologist. H. Delshad M.D. Research Institute For Endocrine Sciences

Insulin Therapy. Endocrinologist. H. Delshad M.D. Research Institute For Endocrine Sciences Insulin Therapy H. Delshad M.D Endocrinologist Research Institute For Endocrine Sciences Primary Objectives of Effective Management A1C % 9 8 Diagnosis SBP mm Hg LDL mg/dl 7 145 130 140 100 Reduction of

More information

Treatment of Type 2 Diabetes

Treatment of Type 2 Diabetes Improving Patient Care through Evidence Treatment of Type 2 Diabetes This information is based on a comprehensive review of the evidence for best practices in the treatment of type 2 diabetes and is sponsored

More information

Scottish Medicines Consortium

Scottish Medicines Consortium Scottish Medicines Consortium insulin glulisine for subcutaneous injection 100 units/ml (Apidra ) No. (298/06) Sanofi Aventis 4 August 2006 The Scottish Medicines Consortium (SMC) has completed its assessment

More information

Glycemic Control Initiative: Insulin Order Set Changes Hypoglycemia Nursing Protocol

Glycemic Control Initiative: Insulin Order Set Changes Hypoglycemia Nursing Protocol Glycemic Control Initiative: Insulin Order Set Changes Hypoglycemia Nursing Protocol Ruth LaCasse Kalish, RPh Department of Pharmacy Objectives Review the current practice at UConn Health with sliding

More information

Multiple-dose insulin injection therapy in patients with type 2 diabetes using a basal-bolus regimen, team management, and nutrition education

Multiple-dose insulin injection therapy in patients with type 2 diabetes using a basal-bolus regimen, team management, and nutrition education Multiple-dose insulin injection therapy in patients with type 2 diabetes using a basal-bolus regimen, team management, and nutrition education Alison Baldwin, BS University of South Carolina School of

More information

INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco

INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco CLINICAL RECOGNITION Background: Appropriate inpatient glycemic

More information

Practical Applications of Insulin Pump Therapy in Type 2 Diabetes

Practical Applications of Insulin Pump Therapy in Type 2 Diabetes Practical Applications of Insulin Pump Therapy in Type 2 Diabetes Wendy Lane, MD For a CME/CEU version of this article please go to www.namcp.org/cmeonline.htm, and then click the activity title. Summary

More information

Type 2 diabetes mellitus

Type 2 diabetes mellitus Type 2 diabetes mellitus CLINICAL PRACTICE Management Guidelines for initiating insulin therapy BACKGROUND Insulin is often indicated for patients with suboptimally controlled type 2 diabetes mellitus,

More information

Insulin Dosing. Meranda Maley, 4 th year PharmD Candidate Florida A & M University Preceptor: Kyle Campbell, PharmD. June 7, 2013

Insulin Dosing. Meranda Maley, 4 th year PharmD Candidate Florida A & M University Preceptor: Kyle Campbell, PharmD. June 7, 2013 Insulin Dosing Meranda Maley, 4 th year PharmD Candidate Florida A & M University Preceptor: Kyle Campbell, PharmD June 7, 2013 Educational Objectives 1. Discuss the insulin medications available for the

More information

Insulin Analogues versus Pump Therapy in Type 2 Diabetes: Benefits from Pump Therapy

Insulin Analogues versus Pump Therapy in Type 2 Diabetes: Benefits from Pump Therapy Insulin Analogues versus Pump Therapy in Type 2 Diabetes: Benefits from Pump Therapy Eric RENARD, MD, PhD Endocrinology Dept, Lapeyronie Hospital Montpellier, France e-renard@chu-montpellier.fr Type 2

More information

CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies

CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies Insulins CLASS OBJECTIVES Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies INVENTION OF INSULIN 1921 The first stills used to make insulin

More information

A Review of Insulin Pen Devices and Use in the Elderly Diabetic Population

A Review of Insulin Pen Devices and Use in the Elderly Diabetic Population Clinical Medicine Insights: Endocrinology and Diabetes Review Open Access Full open access to this and thousands of other papers at http://www.la-press.com. A Review of Insulin Pen Devices and Use in the

More information

Against All Odds: Improving Insulin Use in T2DM Through Individualized Clinical Decision Making

Against All Odds: Improving Insulin Use in T2DM Through Individualized Clinical Decision Making SESSION 3 10:30am 12pm Against All Odds: Improving Insulin Use in T2DM Through Individualized Clinical Decision Making SPEAKERS Frank Lavernia, MD George Dailey III, MD Carol Wysham, MD Presenter Disclosure

More information

Mixing Insulin Glargine With Rapid-Acting Insulin: A Review of the Literature

Mixing Insulin Glargine With Rapid-Acting Insulin: A Review of the Literature Feature Article / Mixing Glargine and Rapid-Acting Insulin Mixing Insulin Glargine With Rapid-Acting Insulin: A Review of the Literature Dana G. Carroll, PharmD, BCPS, CDE, and Lisa Meade, PharmD, CDE

More information

A Simplified Approach to Initiating Insulin. 4. Not meeting glycemic goals with oral hypoglycemic agents or

A Simplified Approach to Initiating Insulin. 4. Not meeting glycemic goals with oral hypoglycemic agents or A Simplified Approach to Initiating Insulin When to Start Insulin: 1. Fasting plasma glucose (FPG) levels >250 mg/dl or 2. Glycated hemoglobin (A1C) >10% or 3. Random plasma glucose consistently >300 mg/dl

More information

Factors Affecting Use of Insulin Pens by Patients With Type 2 Diabetes

Factors Affecting Use of Insulin Pens by Patients With Type 2 Diabetes Clinical Care/Education/Nutrition/Psychosocial Research Original Research Factors Affecting Use of Insulin Pens by Patients With Type 2 Diabetes Richard R. Rubin, PHD 1,2 and Mark Peyrot, PHD 1,3 1 Department

More information

Basal Insulin Analogues Where are We Now?

Basal Insulin Analogues Where are We Now? 232 Medicine Update 41 Basal Insulin Analogues Where are We Now? S CHANDRU, V MOHAN Insulin is a polypeptide secreted by the beta cells of pancreas and consists of 51 amino acids (AA). It has two polypeptide

More information

Many patients with type 2 diabetes will ultimately need

Many patients with type 2 diabetes will ultimately need SUPPLEMENT TO JAPI april 2011 VOL. 59 17 Insulin Initiation and Intensification: Insights from New Studies Ajay Kumar 1, Sanjay Kalra 2 Abstract Tight glycemic control is central to reducing the risk of

More information

Comparative cardiovascular morbidity and mortality in patients taking different insulin regimes for type 2 diabetes: A systematic review

Comparative cardiovascular morbidity and mortality in patients taking different insulin regimes for type 2 diabetes: A systematic review Comparative cardiovascular morbidity and mortality in patients taking different insulin regimes for type 2 diabetes: A systematic review Search Question: What is the impact of insulin type, does and regime

More information

Britni Hebert, MD PGY-1

Britni Hebert, MD PGY-1 Britni Hebert, MD PGY-1 Importance of Diabetes treatment Types of treatment Comparison of treatment/article Review Summary Example cases 1 out of 13 Americans have diabetes Complications include blindness,

More information

NCT00272090. sanofi-aventis HOE901_3507. insulin glargine

NCT00272090. sanofi-aventis HOE901_3507. insulin glargine These results are supplied for informational purposes only. Prescribing decisions should be made based on the approved package insert in the country of prescription Sponsor/company: Generic drug name:

More information

Chapter 2 Subcutaneous Insulin: A Guide for Dosing Regimens in the Hospital

Chapter 2 Subcutaneous Insulin: A Guide for Dosing Regimens in the Hospital Chapter 2 Subcutaneous Insulin: A Guide for Dosing Regimens in the Hospital Karen Barnard, Bryan C. Batch, and Lillian F. Lien Keywords Basal-bolus insulin Prandial insulin Basal insulin Correction dose

More information

Cross-reactivity of human insulin analogs in the Insulin ELISA, the Ultrasensitive Insulin ELISA and the Iso-Insulin

Cross-reactivity of human insulin analogs in the Insulin ELISA, the Ultrasensitive Insulin ELISA and the Iso-Insulin Cross-reactivity of human insulin analogs in the Insulin ELISA, the Ultrasensitive Insulin ELISA and the Iso-Insulin Mercodia Insulin ELISA (10-1113-01/10) and Mercodia Ultrasensitive Insulin ELISA (10-1132-01)

More information

Session 5: Insulin: Tried and True - Update on Best Practices in Clinical Use and Patient Adherence Learning Objectives

Session 5: Insulin: Tried and True - Update on Best Practices in Clinical Use and Patient Adherence Learning Objectives Session 5: Insulin: Tried and True - Update on Best Practices in Clinical Use and Patient Adherence Learning Objectives 1. Design strategies to help patients overcome cultural barriers to using insulin,

More information

Primary Care Type 2 Diabetes Update

Primary Care Type 2 Diabetes Update Primary Care Type 2 Diabetes Update May 16, 2014 Presented by: Barb Risnes APRN, BC-ADM, CDE Objectives: Discuss strategies to address common type 2 diabetes patient management challenges Review new pharmacological

More information

The Diabetes Epidemic: Family Physicians at the Front Line. Presenter s Guide

The Diabetes Epidemic: Family Physicians at the Front Line. Presenter s Guide The Diabetes Epidemic: Family Physicians at the Front Line Presenter s Guide Introduction As part of the Highlight on Diabetes program, we are pleased to provide you with this Slide Presentation and Presenter

More information

Lipodystrophy: Metabolic and Clinical Aspects. Resource Room Slide Series

Lipodystrophy: Metabolic and Clinical Aspects. Resource Room Slide Series Lipodystrophy: Metabolic and Clinical Aspects Resource Room Slide Series Current Thinking About the Diagnosis and Treatment of the Insulin-Resistant State: How to Use Insulin Therapy Irl B. Hirsch, MD

More information

INSULINThere are. T y p e 1 T y p e 2. many different insulins for

INSULINThere are. T y p e 1 T y p e 2. many different insulins for T y p e 1 T y p e 2 INSULINThere are many different insulins for Characteristics The three characteristics of insulin are: Onset. The length of time before insulin reaches the bloodstream and begins lowering

More information

Type 2 diabetes mellitus is becoming a pandemic in the

Type 2 diabetes mellitus is becoming a pandemic in the Insulin Analog Therapy: Improving the Match With Physiologic Insulin Secretion Jeffrey S. Freeman, DO Context: Among the growing population of individuals with type 2 diabetes mellitus, many patients are

More information

Algorithms for Glycemic Management of Type 2 Diabetes

Algorithms for Glycemic Management of Type 2 Diabetes KENTUCKY DIABETES NETWORK, INC. Algorithms for Glycemic Management of Type 2 Diabetes The Diabetes Care Algorithms for Type 2 Diabetes included within this document are taken from the American Association

More information

The Future of Insulin Therapy for Patients With Type 2 Diabetes Mellitus

The Future of Insulin Therapy for Patients With Type 2 Diabetes Mellitus The Future of Insulin Therapy for Patients With Type 2 Diabetes Mellitus Joseph M. Tibaldi, MD From the Albert Einstein College of Medicine in Flushing, New York. This article is based on a continuing

More information

Insulin or GLP1 How to make this choice in Practice. Tara Kadis Lead Nurse - Diabetes & Endocrinology Mid Yorkshire Hospitals NHS Trust

Insulin or GLP1 How to make this choice in Practice. Tara Kadis Lead Nurse - Diabetes & Endocrinology Mid Yorkshire Hospitals NHS Trust Insulin or GLP1 How to make this choice in Practice Tara Kadis Lead Nurse - Diabetes & Endocrinology Mid Yorkshire Hospitals NHS Trust Workshop Over View Considerations/barriers to treatments in type 2

More information

Comparison of the glycemic control of insulin and triple oral therapy in type 2 diabetes mellitus

Comparison of the glycemic control of insulin and triple oral therapy in type 2 diabetes mellitus Journal of Diabetes and Endocrinology Vol. 1(2), pp. 13-18, April 2010 Available online at http://www.academicjournals.org/jde ISSN 2141-2685 2010 Academic Journals Full Length Research Paper Comparison

More information

How To Improve Glycaemic Control

How To Improve Glycaemic Control ORIGINAL PAPER A comparison of intermediate and long-acting insulins in people with type 2 diabetes starting insulin: an observational database study J. Gordon, 1,2 R. D. Pockett, 3 A. P. Tetlow, 3 P.

More information

Insulin Management of Type 2 Diabetes Mellitus

Insulin Management of Type 2 Diabetes Mellitus of Type 2 Diabetes Mellitus ALLISON PETZNICK, DO, Northern Ohio Medical Specialists, Sandusky, Ohio Insulin therapy is recommended for patients with type 2 diabetes mellitus and an initial A1C level greater

More information

Types of insulin and How to Use Them

Types of insulin and How to Use Them Diabetes and Insulin Pumps Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012 Objectives Describe the different types of insulin used in diabetes Identify the types of insulin that are compatible with

More information

Premixed Insulin for Type 2 Diabetes. a gu i d e f o r a d u lt s

Premixed Insulin for Type 2 Diabetes. a gu i d e f o r a d u lt s Premixed Insulin for Type 2 Diabetes a gu i d e f o r a d u lt s March 2009 What This Guide Covers / 2 Type 2 Diabetes / 3 Learning About Blood Sugar / 4 Learning About Insulin / 5 Comparing Medicines

More information

Guideline for Insulin Therapeutic Review in patients with Type 2 Diabetes

Guideline for Insulin Therapeutic Review in patients with Type 2 Diabetes Diabetes Sans Frontières Guideline for Insulin Therapeutic Review in patients with Type 2 Diabetes 1. Introduction This guideline has been developed in order to support practices to undertake insulin therapeutic

More information

8/6/2015. Diabetes Educator Needed: Transitioning Inpatient Persons with Diabetes on U-500 Regular Insulin to Discharge Safely

8/6/2015. Diabetes Educator Needed: Transitioning Inpatient Persons with Diabetes on U-500 Regular Insulin to Discharge Safely Diabetes Educator Needed: Transitioning Inpatient Persons with Diabetes on U-500 Regular Insulin to Discharge Safely Carol A. Biondi MSN, RN, CDE Diabetes Nurse Specialist Tampa General Hospital Tampa,

More information

Session 5: Insulin: Tried and True - Update on Best Practices in Clinical Use and Patient Adherence Learning Objectives

Session 5: Insulin: Tried and True - Update on Best Practices in Clinical Use and Patient Adherence Learning Objectives Session 5: Insulin: Tried and True - Update on Best Practices in Clinical Use and Patient Adherence Learning Objectives 1. Design strategies to help patients overcome cultural barriers to using insulin,

More information

Evidence-based clinical use of insulin premixtures

Evidence-based clinical use of insulin premixtures Tambascia et al. Diabetology & Metabolic Syndrome 2013, 5:50 DIABETOLOGY & METABOLIC SYNDROME REVIEW Open Access Evidence-based clinical use of insulin premixtures Marcos Antônio Tambascia 1*, Márcia Nery

More information